局部阻滞加弯形针刀对屈指肌腱狭窄性腱鞘炎的疗效(1)
摘要：目的 分析在屈指肌腱狭窄性腱鞘炎的治疗中应用局部阻滞加弯形针刀的疗效。方法 选取我院2017年10月～2018年10月收治的84例(126指)屈指肌腱狭窄性腱鞘炎患者，随机分为对照组和观察组，每组42例(62指)。对照组予以局部阻滞治疗，观察组在对照组基础上添加弯形针刀疗法。对比两组治疗前后的疼痛变化，治疗后的手指活动度及治疗效果。结果 治疗后两组的视觉模拟疼痛评分(VAS)均较治疗前降低，观察组治疗后VAS评分为(1.12±0.30)分低于对照组的(2.01±0.50)分，差异有统计学意义(P<0.05);观察组的手指总主动活动指数(TAM)优良率(89.06)和治疗有效率(95.31)分别高于对照组的74.19%、82.26%，差异均有统计学意义(P<0.05)。结论 在屈指肌腱狭窄性腱鞘炎患者中应用局部阻滞加弯形针刀更利于减轻疼痛，改善手指活动度，提高治疗效果。
关键词：屈指肌腱狭窄性腱鞘炎;局部阻滞;弯形针刀
中图分类号：R686 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.10.035
, 百拇医药
文章编号：1006-1959(2019)10-0110-02
Abstract：Objective To analyze the efficacy of local block and curved needle knife in the treatment of flexor tendon stenosis tenosynovitis.Methods 84 patients (126 fingers) with flexor tendon stenosis tenosynovitis admitted to our hospital from October 2017 to October 2018 were randomly divided into control group and observation group， with 42 cases (62 fingers) in each group.The control group was treated with local block， and the observation group was given a curved needle knife therapy on the basis of the control group. The pain changes before and after treatment in the two groups， the degree of finger movement after treatment and the therapeutic effect were compared.Results The visual analogue pain score(VAS) of the two groups was lower than that before treatment.The VAS score of the observation group was (1.12±0.30) and the score of the control group was lower than that of the control group (2.01±0.50)，the difference was statistically significant (P<0.05); the total active activity index (TAM) of the observation group (89.06) and the effective rate of treatment (95.31) were higher than that of the control group， 74.19% and 82.26%， respectively， the difference was statistically significant(P<0.05).Conclusion The application of local block and curved needle knife in patients with flexor tendon stenosis tenosynovitis is more beneficial to reduce pain， improve finger mobility and improve treatment effect.
, 百拇医药
Key words：Flexor tendon stenosis tenosynovitis;Partial block;Curved needle knife
腱鞘炎(tenosynovitis)是因受傷、过分劳损等原因造成的腱鞘与肌腱产生无菌性慢性炎症，屈指肌腱狭窄性腱鞘炎是腱鞘炎的常见类型，是因腱鞘滑车磨损增厚，影响肌腱的正常活动，出现手掌部疼痛、压痛及患指屈伸活动受限的症状[1]。目前西医治疗本病主要以局部消炎、止痛为主，不能根治，治疗效果较差且易复发。随着中医技术的发展，以中医理论为指导并吸收现代医学理论成果的小针刀疗法在软组织损伤性疾病及关节病变的治疗中取得了显著的优势[2]。本研究将探讨在屈指肌腱狭窄性腱鞘炎的治疗中将局部阻滞与弯形针刀联合应用的效果，内容报道如下。, 百拇医药(尚先宝)
关键词：屈指肌腱狭窄性腱鞘炎;局部阻滞;弯形针刀
中图分类号：R686 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.10.035
, 百拇医药
文章编号：1006-1959(2019)10-0110-02
Abstract：Objective To analyze the efficacy of local block and curved needle knife in the treatment of flexor tendon stenosis tenosynovitis.Methods 84 patients (126 fingers) with flexor tendon stenosis tenosynovitis admitted to our hospital from October 2017 to October 2018 were randomly divided into control group and observation group， with 42 cases (62 fingers) in each group.The control group was treated with local block， and the observation group was given a curved needle knife therapy on the basis of the control group. The pain changes before and after treatment in the two groups， the degree of finger movement after treatment and the therapeutic effect were compared.Results The visual analogue pain score(VAS) of the two groups was lower than that before treatment.The VAS score of the observation group was (1.12±0.30) and the score of the control group was lower than that of the control group (2.01±0.50)，the difference was statistically significant (P<0.05); the total active activity index (TAM) of the observation group (89.06) and the effective rate of treatment (95.31) were higher than that of the control group， 74.19% and 82.26%， respectively， the difference was statistically significant(P<0.05).Conclusion The application of local block and curved needle knife in patients with flexor tendon stenosis tenosynovitis is more beneficial to reduce pain， improve finger mobility and improve treatment effect.
, 百拇医药
Key words：Flexor tendon stenosis tenosynovitis;Partial block;Curved needle knife
腱鞘炎(tenosynovitis)是因受傷、过分劳损等原因造成的腱鞘与肌腱产生无菌性慢性炎症，屈指肌腱狭窄性腱鞘炎是腱鞘炎的常见类型，是因腱鞘滑车磨损增厚，影响肌腱的正常活动，出现手掌部疼痛、压痛及患指屈伸活动受限的症状[1]。目前西医治疗本病主要以局部消炎、止痛为主，不能根治，治疗效果较差且易复发。随着中医技术的发展，以中医理论为指导并吸收现代医学理论成果的小针刀疗法在软组织损伤性疾病及关节病变的治疗中取得了显著的优势[2]。本研究将探讨在屈指肌腱狭窄性腱鞘炎的治疗中将局部阻滞与弯形针刀联合应用的效果，内容报道如下。, 百拇医药(尚先宝)