84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]曹亞飛,李亨,余偉吉,等.針刀松解治療指屈肌腱狹窄性腱鞘炎[J].中醫(yī)正骨,2015,27(09):15-17.
　CAO Yafei,LI Heng,YU Weiji,et al.Release with knife needle for the treatment of stenosing tenosynovitis of finger flexor tendon[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):15-17.
點擊復制

針刀松解治療指屈肌腱狹窄性腱鞘炎()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年09期
頁碼:
15-17
欄目:
小針刀技術(shù)
出版日期:
2015-09-30

文章信息/Info

Title:
Release with knife needle for the treatment of stenosing tenosynovitis of finger flexor tendon
作者:
曹亞飛; 李亨; 余偉吉; 劉偉東
廣東省深圳市中醫(yī)院,廣東 深圳 518033
Author(s):
CAO Yafei; LI Heng; YU Weiji; LIU Weidong
Shenzhen Hospital of Traditional Chinese Medicine,Shenzhen 518033,Guangdong,China
關(guān)鍵詞:
小刀針;  扳機指癥
Keywords:
small knife needle;  trigger finger disorder
摘要:
目的:觀察針刀松解治療指屈肌腱狹窄性腱鞘炎的臨床療效和安全性。方法:將89例指屈肌腱狹窄性腱鞘炎患者隨機分為2組,45例采用針刀松解治療,44例采用局部封閉治療。分別于治療后3周和治療后6個月,參照《中醫(yī)病證診斷療效標準》中指屈肌腱狹窄性腱鞘炎的療效評定標準對2組患者的臨床療效進行評定和比較,并觀察并發(fā)癥發(fā)生情況。結(jié)果:治療后3周,針刀組顯效45例,封閉組顯效25例、好轉(zhuǎn)16例、無效3例,針刀組療效優(yōu)于封閉組(Z=-4.924,P=0.000)。治療后6個月,針刀組顯效43例、好轉(zhuǎn)2例,封閉組顯效19例、好轉(zhuǎn)18例、無效7例; 針刀組療效優(yōu)于封閉組(Z=-5.348,P=0.000)。2組患者均無神經(jīng)、肌腱損傷及組織黏連等并發(fā)癥發(fā)生。結(jié)論:針刀松解治療指屈肌腱狹窄性腱鞘炎,可有效緩解疼痛、改善患指功能,安全可靠,療效優(yōu)于局部封閉治療。
Abstract:
Objective:To observe the clinical curative effects and safety of knife needle release in the treatment of stenosing tenosynovitis of finger flexor tendon.Methods:Eighty-nine patients with stenosing tenosynovitis of finger flexor tendon were randomly divided into 2 groups,45 patients(knife needle group)were treated with percutaneous release with knife needle and 44 patients(blocking group)were treated with local blocking therapy.The curative effect were evaluated and compared between the 2 groups at 3 weeks and 6 months after the treatment respectively by using the therapeutic effects evaluation standard of stenosing tenosynovitis of finger flexor tendon which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes,and the complications were also observed.Results:Forty-five patients got a good result in the knife needle group,while 25 patients got a good result,16 fair and 3 poor in the blocking group at 3 weeks after the treatment.The knife needle group surpassed the blocking group in the curative effect(Z=-4.924,P=0.000).Forty-three patients got a good result and 2 fair in the knife needle group,while 19 patients got a good result,18 fair and 7 poor in the blocking group at 6 months after the treatment.The knife needle group surpassed the blocking group in the curative effect(Z=-5.348,P=0.000).No complications such as nerve injuries,tendon injuries and tissue adhesions were found in the 2 groups.Conclusion:Percutaneous release with knife needle can effectively relieve the finger pain and improve the finger function.It is safe and reliable for treatment of stenosing tenosynovitis of finger flexor tendon,and its curative effect is better than that of local blocking therapy.

參考文獻/References:

[1] 傅應(yīng)昌,孫芳.中藥熏洗治療早期狹窄性腱鞘炎35例療效觀察[J].中國醫(yī)療前沿,2011,6(9):37.
[2] 楊強,陳曉英,付高勇,等.針刀治療屈指肌腱腱鞘炎82例療效觀察[J].長春中醫(yī)藥大學學報,2010,26(4):548.
[3] 項攀,張玲芝.針刀療法治療狹窄性腱鞘炎療效觀察[J].中醫(yī)正骨,2014,26(5):31-32.
[4] 國家中醫(yī)藥管理局.中醫(yī)病證診斷療效標準[S].南京:南京大學出版社,1994:190-192.
[5] 孫樹椿,孫之鎬.中醫(yī)筋傷學[M].2版.北京:人民衛(wèi)生出版社,1995:104.
[6] 張宇,王曉冰,孟慶江.開皮針在屈指肌腱狹窄性腱鞘炎中的臨床應(yīng)用[J].中國中醫(yī)骨傷科雜志,2013,21(8):57. 中醫(yī)正骨2015年9月第27卷第9期 J Trad Chin Orthop Trauma,2015,Vol.27,No.9(總657) (總658)中醫(yī)正骨2015年9月第27卷第9期 J Trad Chin Orthop Trauma,2015,Vol.27,No.9
[7] 李瑞琦,張國平,李宜炯,等.自制式”鐮刀狀”小針刀微創(chuàng)治療與開放手術(shù)治療手指屈肌腱狹窄性腱鞘炎療效的對比研究[J].中國全科醫(yī)學,2013,16(10C):3611-3613.
[8] 朱國文,姚新苗,呂一,等.彎形針刀經(jīng)皮松解術(shù)治療屈指肌腱狹窄性腱鞘炎的臨床研究[J].中醫(yī)正骨,2014,26(1):31-33.
[9] 朱國文,金杰,呂一,等.屈指肌腱狹窄性腱鞘炎的診治研究進展[J].中醫(yī)正骨,2008,20(11):70-72.
[10] 顧玉東,王澍寰,侍德.手外科學[M].上海:上海科學技術(shù)出版社,2002:366.
[11] 陳海宏,高大偉,楊健松.功能位固定結(jié)合中藥熏洗治療屈指肌腱狹窄性腱鞘炎療效分析[J].中國醫(yī)學創(chuàng)新,2013,10(7):98-99.
[12] 陳孝平,汪建平.外科學[M].8版.北京:人民衛(wèi)生出版社,2010:1021.
[13] 胥少汀,葛寶豐,徐印坎.實用骨科學[M].3版.北京:人民軍醫(yī)出版社,2005:1587-1588.
[14] 周興明,朱海波.狹窄性腱鞘炎的微創(chuàng)治療[J].中國誤診學雜志,2006,6(6):1060-1061.
[15] 歐陽潔,李義凱,岳永斌.針刀治療扳機指操作方法對手指掌側(cè)面局部解剖結(jié)構(gòu)損傷情況的研究[J].中國康復醫(yī)學雜志,2010,25(6):523-526.
[16] 周冰,劉佳.小針刀治療屈指肌狹窄性腱鞘炎臨床觀察[J].中國中醫(yī)藥咨訊,2012,4(5):148.

相似文獻/References:

[1]董福慧.針刀技術(shù)的特色與優(yōu)勢[J].中醫(yī)正骨,2015,27(09):1.
[2]應(yīng)明軍,呂志靈.超微針刀治療頸肩綜合征的療效觀察[J].中醫(yī)正骨,2016,28(04):22.
　YING Mingjun,LYU Zhiling.Observation on the curative effect of ultramicro knife needle for treatment of neck-shoulder syndromes[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(09):22.

備注/Memo

備注/Memo:
2015-03-05收稿 2015-06-08修回
通訊作者:李亨 E-mail:liheng04zt@126.com
更新日期/Last Update: 2015-09-30