| 廖家权,吴波,唐昌敏,何建华.体外冲击波联合局部类固醇注射治疗腕管综合征的远期疗效观察[J].中国康复,2022,37(12):727-731 |
| 体外冲击波联合局部类固醇注射治疗腕管综合征的远期疗效观察 |
| Long-term efficacy of extracorporeal shock wave combined with local steroid injection in the treatment of carpal tunnel syndrome |
| |
| DOI： |
| 中文关键词: 体外冲击波 局部类固醇注射 腕管综合征 |
| 英文关键词: Extracorporeal shock wave local steroid injection carpal tunnel syndrome |
| 基金项目: |
|
| 摘要点击次数: 1656 |
| 全文下载次数: 4162 |
| 中文摘要: |
| 目的：观察联合运用体外冲击波和局部类固醇注射治疗腕管综合征的远期疗效。方法：将腕管综合征患者按随机数字表法分为联合组、冲击波组和注射组3组，每组20例。其中冲击波组1例脱落，共19例完成研究，注射组3例脱落，共17例完成研究。所有患者均接受常规治疗，冲击波组在常规康复治疗的基础上采用体外冲击波治疗，注射组在常规康复治疗的基础上采取类固醇药物的局部注射，联合组患者联合采用体外冲击波和局部类固醇注射治疗。3组患者均治疗满4周。分别于治疗前、治疗4周后、治疗8周后进行VAS评定和波士顿腕管综合征评分量表（BCTQ)症状及功能评定，应用肌电图进行患侧正中神经诱发电位测定。结果：治疗4周后，3组患者VAS评分、BCTQ症状及功能评分及DML均较治疗前有明显降低（P＜0.05），CMAP、SCV及SNAP均较治疗前明显升高（P＜0.05）；组间比较，联合组VAS评分、BCTQ功能评分低于其他2组（P＜0.05），SNAP明显高于其他2组（P＜0.05），CMAP指标明显高于冲击波组（P＜0.05）。治疗8周后，联合组VAS评分、BCTQ症状及功能评分较治疗前明显降低（P＜0.05），CMAP、SCV结果较治疗前明显升高（P＜0.05），冲击波组VAS评分、BCTQ症状评分、DML较治疗前明显降低（P＜0.05），注射组VAS评分、DML较治疗前明显减低（P＜0.05），SNAP较治疗前明显升高（P＜0.05），此外注射组VAS评分、BCTQ功能评分较治疗4周后有明显回升（P＜0.05），SCV、SNAP较治疗4周后有明显下降（P＜0.05），组间比较，联合组CMAP、SCV、SNAP明显高于其他2组（P＜0.05），VAS评分、BCTQ症状评分和功能评分明显低于注射组（P＜0.05）。结论：联合使用冲击波治疗和局部注射不仅能在较短的时间内获得较好的症状及功能改善，与单独应用其中一种治疗方法比较也拥有更好的远期疗效。 |
| 英文摘要: |
| Objective: To observe the long-term efficacy of combined use of extracorporeal shock wave and local steroid injection in the treatment of carpal tunnel syndrome. Methods: Patients with carpal tunnel syndrome were divided into three groups according to the random number table method: combined group, shock wave group and injection group, with 20 cases in each group. Among them, 1 case fell off in the shock wave group, and a total of 19 cases completed the study, and 3 cases fell off in the injection group, and a total of 17 cases completed the study. All patients received conventional treatment, the shock wave group was treated with extracorporeal shock wave based on conventional rehabilitation treatment, the injection group was treated with local injection of steroid drugs on the basis of conventional rehabilitation treatment, and the patients in the combined group were treated with combined extracorporeal shock wave and local steroid injection. All 3 groups were treated for 4 weeks. The VAS assessment and BCTQ symptom and function assessment were performed before treatment, after 4 weeks of treatment and after 8 weeks of treatment, respectively. Results: After 4 weeks of treatment, VAS score, BCTQ symptom and function score, motor and sensory function indexes were significantly improved in the three groups as compared with those before treatment (P<0.05), and after 8 weeks of treatment, the combined group had better results than the other two groups in VAS score, BCTQ symptom-level function score, CMAP, SCV, and SNAP (P<0.05). Conclusion: The combined use of shock wave therapy and local injection not only resulted in better symptom and functional improve-ment in a shorter period of time, but also possessed better long-term efficacy than one of the treatments applied alone. |
|
查看全文
下载PDF阅读器 HTML全文 |
| 关闭 |
|
|
|
