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针刺与抗炎治疗腕管综合征的疗效

Efficacies of Acupuncture and Anti-inflammatory Treatment for Carpal Tunnel Syndrome.

作者信息

Hadianfard Mohammadjavad, Bazrafshan Esmaeel, Momeninejad Hadi, Jahani Navid

机构信息

Department of Physical Medicine and Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Physical Medicine and Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Acupunct Meridian Stud. 2015 Oct;8(5):229-35. doi: 10.1016/j.jams.2014.11.005. Epub 2014 Nov 29.

Abstract

This study compared the efficacies of acupuncture and anti-inflammatory treatment in patients with carpal tunnel syndrome (CTS). Fifty patients with mild to moderate CTS were randomly divided into two groups. Both groups received night wrist splints as the standard conservative treatment for 1 month. The acupuncture group also received eight sessions of acupuncture therapy (twice a week for 4 weeks). The control group received 400 mg of ibuprofen three times a day for 10 days. The visual analog scale (VAS) score, the score on the Boston Carpal Tunnel Questionnaire for Functional Status and Symptom Severity (BCTQ FUNCT and SYMPT), and the electrodiagnostic findings were evaluated at baseline and 1 month after treatment. At the final follow up, significant improvements were found in both groups (p < 0.05). Statistically significant improvements were observed in the VAS score, the score on the global BCTQ FUNCT and SYMPT, and the electrodiagnostic findings, but not in the distal motor latency (DML), in the acupuncture group (p < 0.05). Our findings indicate that acupuncture affected the score on the global BCTQ FUNCT and SYMPT, the VAS score, and the electrodiagnostic findings, except the DML, more than ibuprofen did and that acupuncture might be an effective treatment for CTS.

摘要

本研究比较了针刺与抗炎治疗对腕管综合征(CTS)患者的疗效。50例轻至中度CTS患者被随机分为两组。两组均接受夜间腕部夹板作为标准保守治疗1个月。针刺组还接受了8次针刺治疗(每周2次,共4周)。对照组每天3次服用400毫克布洛芬,共10天。在基线和治疗后1个月评估视觉模拟量表(VAS)评分、波士顿腕管功能状态和症状严重程度问卷(BCTQ FUNCT和SYMPT)评分以及电诊断结果。在最终随访时,两组均有显著改善(p < 0.05)。针刺组在VAS评分、BCTQ FUNCT和SYMPT总体评分以及电诊断结果方面观察到有统计学意义的改善,但在远端运动潜伏期(DML)方面未观察到改善(p < 0.05)。我们的研究结果表明,针刺对BCTQ FUNCT和SYMPT总体评分、VAS评分以及电诊断结果(除DML外)的影响比布洛芬更大,针刺可能是治疗CTS的一种有效方法。

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