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针刺联合臭氧局部注射治疗桡骨茎突狭窄性腱鞘炎的临床研究

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目的 探讨针刺联合臭氧局部注射治疗桡骨茎突狭窄性腱鞘炎的疗效。方法 前瞻性纳入 2020 年 9 月至2021 年 9 月在成都体育学院附属体育医院住院的桡骨茎突狭窄性腱鞘炎患者 86 例,采用抽签法分为观察组(n=43)和对照组(n=43),对照组采取针刺治疗,观察组采用针刺联合臭氧局部注射治疗。治疗 2 周后,对比观察组和对照组患者临床疗效、不良反应,观察并对比治疗前后中医症状评分、Cooney腕关节评分、炎症反应等情况。结果 观察组患者治疗总有效率高于对照组(P<0。05)。治疗后,2 组患者局部肿胀、压痛及握拳尺偏中医症状评分、血清C反应蛋白(CRP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平较治疗前下降,且观察组低于对照组(P<0。05);腕关节功能状态、活动度、握力评分较治疗前上升,且观察组高于对照组(P<0。05)。观察组和对照组患者治疗期间总不良反应率比较差异无统计学意义(P>0。05)。结论 针刺联合臭氧局部注射治疗桡骨茎突狭窄性腱鞘炎取得良好疗效,且针刺联合臭氧局部注射疗效优于单纯臭氧局部注射治疗。
Clinical study on acupuncture combined with ozone local injection in the treatment of stenosing tenosynovitis of radial styloid process
Objective To investigate the efficacy of acupuncture combined with ozone local injection in the treatment of stenosing tenosynovitis of radial styloid process.Methods A total of 86 patients with stenosing tenosynovitis of radial styloid process who were admitted to Affiliated Sport Hospital of Chengdu Sport University from September 2020 to September 2021 were enrolled in this prospective study.They were randomly divided into observation group(n=43)and control group(n=43)with the method of random sampling.The control group was treated with acupuncture,and the observation group was treated with acupuncture and ozone local injection.After 2 weeks of treatment,the clinical efficacy and adverse reactions were compared between the two groups.The traditional Chinese medicine(TCM)symptom score,Cooney wrist score and inflammatory reaction were recorded before and after treatment.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).The scores of local swelling,tenderness and TCM symptoms of fist-clenching and ulnar deviation,and the levels of C-reactive protein(CRP),interleukin 6(IL-6)and tumor necrosis factor α(TNF-α)were decreased after treatment in both groups,and these indexes in the observation group were significantly lower than those in the control group(P<0.05).After treatment,the scores of wrist joint function,range of motion and grip strength were increased after treatment in both groups,and the scores in the observation group were significantly higher than those in the control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Acupuncture combined with ozone local injection can achieve good outcomes in the treatment of stenosing tenosynovitis of radial styloid process.The curative effect of acupuncture combined with ozone local injection is superior to ozone local injection alone.

Acupuncture therapyOzone therapyStenosing tenosynovitis of radial styloid processClinical efficacy

谭城举、王强、金红波

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610041 四川 成都,成都体育学院附属体育医院筋伤科

针刺疗法 臭氧疗法 桡骨茎突狭窄性腱鞘炎 临床疗效

2024

海军医学杂志
海军医学研究所

海军医学杂志

CSTPCD
影响因子:0.518
ISSN:1009-0754
年,卷(期):2024.45(12)