中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2010年
14期
23-25
,共3页
郑夏茹%兰才生%邓惠文%刘丽平%刘志平
鄭夏茹%蘭纔生%鄧惠文%劉麗平%劉誌平
정하여%란재생%산혜문%류려평%류지평
激光%康复%腕管综合征
激光%康複%腕管綜閤徵
격광%강복%완관종합정
Lasers%Rehabilitation%Carpal tunnel syndrome
目的 探讨超激光对慢性劳损所致早期腕管综合征的康复治疗效果.方法 将98例慢性劳损所致早期腕管综合征患者采用随机数字表法分为试验组53例和对照组45例.对照组给予腕部支具制动腕关节于中立位和手腕部抬高休息的方法,试验组在对照组治疗的基础上给予超激光治疗.治疗2周后观察两组患手临床症状及肌电图变化,并进行综合评估.结果 治疗2周后两组患手临床症状及肌电图变化均较治疗前有明显改善,其中试验组运动神经传导速度改善优于对照组(P<0.05).试验组治愈显效率为81.13%(43/53),对照组治愈显效率为57.78%(26/45),试验组治愈显效率明显高于对照组(P<0.05).结论 在腕部支具制动的基础上应用超激光治疗慢性劳损所致早期腕管综合征疗效显著,值得临床推广应用.
目的 探討超激光對慢性勞損所緻早期腕管綜閤徵的康複治療效果.方法 將98例慢性勞損所緻早期腕管綜閤徵患者採用隨機數字錶法分為試驗組53例和對照組45例.對照組給予腕部支具製動腕關節于中立位和手腕部抬高休息的方法,試驗組在對照組治療的基礎上給予超激光治療.治療2週後觀察兩組患手臨床癥狀及肌電圖變化,併進行綜閤評估.結果 治療2週後兩組患手臨床癥狀及肌電圖變化均較治療前有明顯改善,其中試驗組運動神經傳導速度改善優于對照組(P<0.05).試驗組治愈顯效率為81.13%(43/53),對照組治愈顯效率為57.78%(26/45),試驗組治愈顯效率明顯高于對照組(P<0.05).結論 在腕部支具製動的基礎上應用超激光治療慢性勞損所緻早期腕管綜閤徵療效顯著,值得臨床推廣應用.
목적 탐토초격광대만성로손소치조기완관종합정적강복치료효과.방법 장98례만성로손소치조기완관종합정환자채용수궤수자표법분위시험조53례화대조조45례.대조조급여완부지구제동완관절우중립위화수완부태고휴식적방법,시험조재대조조치료적기출상급여초격광치료.치료2주후관찰량조환수림상증상급기전도변화,병진행종합평고.결과 치료2주후량조환수림상증상급기전도변화균교치료전유명현개선,기중시험조운동신경전도속도개선우우대조조(P<0.05).시험조치유현효솔위81.13%(43/53),대조조치유현효솔위57.78%(26/45),시험조치유현효솔명현고우대조조(P<0.05).결론 재완부지구제동적기출상응용초격광치료만성로손소치조기완관종합정료효현저,치득림상추엄응용.
Objective To investigate the rehabilitation therapeutic effect of Super-Lizer on the early chronicity strain carpal tunnel syndrome by lassitude. Methods Ninety-eight carpal tunnel syndrome patients were randomly divided into therapeutic group (53 cases) and control group (45 cases). The control group was treated with brake and rest on wrist joint. The therapeutic group was treated with Super-Lizer plus wrist brace in neutral position brake and rest in run-up position on wrist joint. The changes of clinical symptom,feeling,muscle power and electromyography in the hands after 2 weeks were detected.Then the results were analyzed. Results The clinical symptom,feeling,muscle power and electromyography in the hands of two groups were obviously improved after treatment, the therapeutic group significantly better than the control group in motor nerve conduction resume(P < 0.05 ). The cure and efficiency rate of the therapeutic group was 81.13%(43/53),the cure and efficiency rate of the control group was 57.78%(26/45),there was significantly better between two groups (P < 0.05). Conclusion The rehabilitation therapeutic effect of Super-Lizer on the early chronicity strain carpal tunnel syndrome is remarkable,worthy of clinical application.