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从肌电图-神经传导速度(EMG-NCV)角度分析短腕夹板对布洛芬治疗下的腕管综合征(CTS)患者的治疗效果。

Analyzing the therapeutic effects of short wrist splint in patients with carpal tunnel syndrome (CTS) under ibuprofen treatment from an EMG-NCV perspective.

作者信息

Riasi H, Rajabpour Sanati A, Salehi F, Salehian H, Ghaemi K

机构信息

Department of Neuroradiology, University of Zurich, Zurich, Switzerland.

Medical Faculty, Birjand University of Medical Sciences, Birjand, Iran.

出版信息

J Med Life. 2015;8(Spec Iss 4):154-158.

Abstract

Carpal tunnel symptoms are typical outside nerve involvement and a significant reason of inability. This syndrome often causes weakness and pain in the affected hand. Therefore, the researchers decided to perform a study that aimed to investigate the therapeutic effects of Wrist Splint (short wrist splint) in patients admitted to the neurology clinic of Vali Asr Hospital of Birjand with carpal tunnel syndrome (CTS) under ibuprofen treatment from an EMG-NCV perspective. This clinical trial was performed on patients admitted to the neurology clinic of Vali Asr Hospital during the spring and summer of 2013. The participants of the study were classified into two teams. The initial team of cases went under medical treatment with ibuprofen (800 mg BID for 4-6 weeks) and the second group of patients went under medical care with ibuprofen (800 mg BID for 4-6 weeks) with a short wrist splint. 40 cases participated in the research. The mean age of participants was 32/ 75 ± 4/ 33 years (range 20 to 48 years), respectively. Most of the participants were females (n = 30, 75% respectively). The mean score, latency and velocity between the two groups were mainly distinct (respectively p = 0.05, 0.001, and 0.003). There were significant differences between amplitude before the start of the study (p = 0.000) among the participants. The results showed that patients treated with ibuprofen and wrist splint along the para-clinics presented a better response to treatment.

摘要

腕管综合征症状是典型的神经外受累情况,也是导致功能障碍的重要原因。该综合征常导致患手无力和疼痛。因此,研究人员决定开展一项研究,旨在从肌电图-神经传导速度(EMG-NCV)角度,调查腕部夹板(短腕夹板)对在比尔詹德瓦利阿斯尔医院神经科就诊的腕管综合征(CTS)患者在布洛芬治疗下的治疗效果。这项临床试验于2013年春夏期间在瓦利阿斯尔医院神经科就诊的患者中进行。研究参与者被分为两组。第一组病例接受布洛芬治疗(800毫克,每日两次,持续4 - 6周),第二组患者在接受布洛芬治疗(800毫克,每日两次,持续4 - 6周)的同时佩戴短腕夹板。40例患者参与了该研究。参与者的平均年龄分别为32.75±4.33岁(年龄范围20至48岁)。大多数参与者为女性(分别为n = 30,75%)。两组之间的平均评分、潜伏期和速度主要存在显著差异(分别为p = 0.05、0.001和0.003)。研究开始前参与者之间的波幅存在显著差异(p = 0.000)。结果表明,在辅助治疗中接受布洛芬和腕部夹板治疗的患者对治疗的反应更好。

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