活血止痛胶囊联合局部封闭治疗桡骨茎突狭窄性腱鞘炎临床研究
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Clinical Study on Huoxue Zhitong Capsules Combined with Local Block for Stenosing Tenosynovitis of Radial Styloid
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    摘要:

    目的:观察活血止痛胶囊联合局部封闭治疗桡骨茎突狭窄性腱鞘炎的临床疗效。方法:将78 例患者按随机数字表法分为对照组与治疗组各39 例。对照组给予常规局部封闭治疗,治疗组采取局部封闭联合活血止痛胶囊治疗;观察比较2 组治疗前后疼痛视觉模拟评分(VAS)、Cooney 腕关节功能评分;比较2 组治疗前后肿瘤坏死因子-α(TNF-α)、C-反应蛋白(CRP)水平;观察比较2 组临床疗效。结果:总有效率治疗组为87.2%,对照组为66.7%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组VAS 评分较治疗前降低(P<0.05),Cooney 评分较治疗前升高(P<0.05),且治疗组2 项评分改善较对照组更显著(P<0.05)。治疗后,2 组血清TNF-α、CRP 水平均较治疗前降低(P<0.05),且治疗组2 项水平指标均低于对照组(P<0.05)。结论:局部封闭联合活血止痛胶囊治疗腱鞘炎可显著改善患者腕关节功能,减轻疼痛,抑制炎症反应,疗效优于单纯局部封闭治疗。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Huoxue Zhitong capsules combined with local block for stenosing tenosynovitis of radial styloid. Methods:A total of 78 cases of patients were divided into the control group and the treatment group according to the random number table method,39 cases in each group. The control group was treated with routine local block,and the treatment group was additionally given Huoxue Zhitong capsules based on the treatment of the control group. Before and after treatment, the scores of Visual Analogue Scale(VAS) and Cooney wrist function in the two groups were observed and compared;the levels of tumor necrosis factors-α(TNF-α) and C-reactive protein(CRP) in the two groups were compared. The total clinical effect in the two groups was observed and compared. Results:The total effective rate was 87.2 % in the treatment group and 66.7% in the control group, the difference being significant(P<0.05). After treatment, VAS scores in the two groups were decreased when compared with those before treatment(P<0.05),and Cooney scores were increased(P<0.05);the improvement of the above scores in the treatment group was more significant than that in the control group(P<0.05). After treatment, the levels of TNF- α and CRP in serum in the two groups were decreased when compared with those before treatment(P<0.05),and the above levels in the treatment group were lower than those in the control group(P<0.05). Conclusion:The therapy of local block combined with Huoxue Zhitong capsules for tenosynovitis can significantly improve the wrist function of patients,relieve the pain and inhibit the inflammatory reactions,whose curative effect is better than that of simple local block therapy.

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施建辉,朱弢,章森桥.活血止痛胶囊联合局部封闭治疗桡骨茎突狭窄性腱鞘炎临床研究[J].新中医,2020,52(13):88-90

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  • 在线发布日期: 2020-07-10
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