Clinical observation of massage combined with conventional western medicine in the treatment of mild-to-moderate carpal tunnel syndrome

LU Xingang; YU Liwei; GOU Haixin; WANG Ping; CHE Wen; AN Bingchen; ZHU Dingcheng

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Clinical observation of massage combined with conventional western medicine in the treatment of mild-to-moderate carpal tunnel syndrome

更新时间：2022-08-31

- Clinical observation of massage combined with conventional western medicine in the treatment of mild-to-moderate carpal tunnel syndrome
- Shanghai Journal of Traditional Chinese Medicine Vol. 52, Issue 1, Pages: 58-61(2018)
- 作者机构：
  
  1. 复旦大学附属华东医院推拿科,上海,200040
  2. 复旦大学附属华东医院伤外科,上海,200040
  3. 复旦大学附属华东医院康复科,上海,200040
- 作者简介：
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LU Xingang, YU Liwei, GOU Haixin, et al. Clinical observation of massage combined with conventional western medicine in the treatment of mild-to-moderate carpal tunnel syndrome. [J]. Shanghai Journal of Traditional Chinese Medicine 52(1):58-61(2018)
DOI：

LU Xingang, YU Liwei, GOU Haixin, et al. Clinical observation of massage combined with conventional western medicine in the treatment of mild-to-moderate carpal tunnel syndrome. [J]. Shanghai Journal of Traditional Chinese Medicine 52(1):58-61(2018) DOI：

摘要

目的：观察推拿手法结合西医常规治疗轻中度腕管综合征的临床疗效。方法：将110例轻中度腕管综合征患者随机分为对照组和治疗组,每组55例。对照组予西医常规保守治疗,治疗组在对照组治疗措施基础上加用推拿手法治疗。两组疗程均为1个月,观察比较Boston腕管综合征调查问卷(BCTQ)评分、VAS评分及神经电生理相关检查指标。电生理指标包括正中神经感觉神经动作电位(SNAP)波幅、神经传导速度(SNCV),肌肉复合动作电位(CMAP)波幅,正中神经末端运动潜伏期(DML)。结果：①试验期间,两组共脱落7例病例,最终完成试验者治疗组54例、对照组49例。②组间治疗后比较,BCTQ症状维度、功能维度评分差异有统计学意义,治疗组明显低于对照组(P＜0.05)。③组间治疗后比较,VAS评分差异有统计学意义,治疗组明显低于对照组(P＜0.05)。④组间治疗后比较,治疗组中指-腕SNAP、中指-腕SNCV、拇指-腕SNAP、拇指-腕SNCV、拇短展肌CAMP水平较对照组明显上升(P＜0.05),治疗组DML水平较对照组明显下降(P＜0.05)。结论：推拿手法结合西医常规治疗轻中度腕管综合征,可较好地恢复手腕部功能、减轻疼痛,促进局部神经功能恢复。

Abstract

Objective:To observe the clinical efficacy of massage therapy combined with conventional western medicine in the treatment of mild-to-moderate carpal tunnel syndrome. Methods110 patients with carpal tunnel syndrome were randomly divided into the control group and treatment group,55 cases in each group. The control group was treated with conventional and conservative therapy of western medicine,the treatment group was additionally treated with massage based on the treatment for the control group,with a course of one month. The Boston carpal tunnel questionnaire(BCTQ)scores,visual analogue scale(VAS)score and electrophysiological indexes of median nerve that including sensory nerve action potential(SNAP),sensory nerve conduction velocity(SNCV),compound muscle action potential(CMAP)and distal motor latency(DML)were observed and compared. Results:①During trial,totally 7 cases fell off. Finally 54 cases in the treatment group and 49 cases in the control group completed the trial. ②After treatment,there were statistically significant differences on the BCTQ scores of symptom dimension and functional dimension between the two groups,and the scores of the treatment group were obviously lower than those of the control group(P＜0.05). ③After treatment,there was statistically significant difference on the VAS score between the two groups,and the VAS score of the treatment group was obviously lower than that of the control group(P＜0.05). ④After treatment,the levels of SNAP and SNCV of middle finger-wrist, SNAP and SNCV of thumb-wrist and CMAP of abductor pollicis brevis in the treatment group were obviously increased compared with the control group(P＜0.05),and the DML level in the treatment group was obviously decreased compared with the control group(P＜0.05). Conclusion:Massage combined with conventional western medicine in the treatment of mild-to-moderate carpal tunnel syndrome can restore the function of hands and wrist,relieve the pain and promote the recovery of local nerve function.

关键词

腕管综合征推拿保守治疗Boston腕管综合征调查问卷神经电生理

Keywords

carpal tunnel syndromemassageconservative therapyBoston carpal tunnel questionnaireelectrophysiology of nerve

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