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激光针灸作为腕管综合征治疗选择的案例系列。

Laser Acupuncture as a Treatment Option for Carpal Tunnel Syndrome Management: a Case Series.

机构信息

Department of Medical Acupuncture, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

Department of Neurology, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.

出版信息

J Acupunct Meridian Stud. 2022 Jun 30;15(3):189-193. doi: 10.51507/j.jams.2022.15.3.189.

Abstract

Carpal tunnel syndrome (CTS) is disease that gives burdens for many countries, with a few choices for the management such as drugs or surgery, each has side effects that decrease the quality of life. Acupuncture is proven to be an effective treatment for pain and can restore nerve functions, and laser acupuncture is one of the modalities. This study aims to assess the effectiveness of laser acupuncture with total sample of 3 patients (6 wrists) mostly with tingling sensations and the outcomes are Boston questionnaire (BCTQ), visual analogue scale (VAS), Tinel sign, Phalen sign, and parameters of nerve conduction study (NCS). Acupuncture points used here are PC6, PC7, EXUE9, and LI4. The results show a decrease in NCS grades for 3 wrists, all wrists have BCTQ score improvements, a decrease in VAS, but no significant improvement in Tinel and Phalen signs. It is concluded that laser acupuncture can be used as a treatment option for the management of carpal tunnel syndrome.

摘要

腕管综合征(CTS)是一种给许多国家带来负担的疾病,其治疗方法选择有限,如药物或手术,但每种方法都有降低生活质量的副作用。针灸已被证明是一种有效的疼痛治疗方法,可以恢复神经功能,而激光针灸就是其中一种方法。本研究旨在评估激光针灸的有效性,共纳入 3 名患者(6 只手腕),主要表现为刺痛感,结果采用波士顿问卷(BCTQ)、视觉模拟评分(VAS)、Tinel 征、Phalen 征和神经传导研究(NCS)参数进行评估。本研究使用的穴位是 PC6、PC7、EXUE9 和 LI4。结果显示,3 只手腕的 NCS 分级降低,所有手腕的 BCTQ 评分均提高,VAS 降低,但 Tinel 和 Phalen 征无明显改善。结论:激光针灸可作为治疗腕管综合征的一种选择。

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