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Clinical Study Of Acupuncture On Cubital Tunnel Syndrome

Posted on:2017-02-24Degree:MasterType:Thesis
Country:ChinaCandidate:X M LiuFull Text:PDF
GTID:2174330482984544Subject:Acupuncture and Massage
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Purpose and significanceRandomized controlled clinical trial design, and improving the role of acupuncture analgesia cubital tunnel syndrome of the hand function cubital tunnel syndrome resulting from restricted. Efficacy of acupuncture alone to compensate for mild to moderate cubital tunnel syndrome, blank, clear increase feasible and effective conservative treatment of mild to moderate cubital tunnel syndrome approach.Research methods78 cases will be selected randomly divided into control group and treatment group,39 cases in each group. The control group not treated only as a blank observation. The treatment group received acupuncture treatment, the use of Toho 0.30* 40mm disposable acupuncture needles, take a small sea, Bracing, wrist, pension, after the river, Nagisa, Yang Chi, Ashi points, etc., numbness of the fingers can be equipped with ten declared, less Ze, Guan Chong, eight evil and other points; piercing, a small sea, Yang Chi, Yanggu 0.3-inch needle and other points, was tight and creaky after acupuncture needle, reinforcing-reducing techniques, the needle 20min. Acupuncture 1 day,10 times as a course of treatment interval three days, a total of two courses. If the patient pain during treatment, numbness and other symptoms disappeared, the end of treatment in advance. VAS score was observed, PPI score and hand movement changes the feeling of scoring, and overall efficacy evaluation.Result1 CompletionThe problem cases in strict accordance with the diagnostic criteria, inclusion criteria and exclusion criteria, the observation process, the control group completed 33 cases, six cases of loss; the treatment group completed 36 cases, shedding three cases, the final statistics included 69 cases.2 General InformationThe patient’s age, sex comparability analysis, two groups of age, gender balance, comparable.3 Comparison of the efficacy of the treatment before and after3.1 VAS scores before and after treatment comparison:The control group and the treatment group for VAS scores before and after treatment by t test, after treatment VAS scores were lower than before treatment, the difference was statistically significant (P<0.05). Tip acupuncture can relieve pain.3.2 PPI scores before and after treatment comparison:The control group and the treatment group were as PPI scores before and after treatment, the rank sum test, acupuncture group after treatment PPI score lower than before treatment, the difference was statistically significant (P<0.05); the control group before and after treatment there was no significant PPI difference (P> 0.05). Tips Acupuncture can improve the current level of pain.3.3 Treatment of hands before and after comparison of the sensation of movement:The control group and the treatment group before and after treatment for hand motor and sensory evaluation were compared by t test, acupuncture treatment group FLAC sports scores from feeling lower than before treatment, the difference was statistically significant (P<0.05), and control group before and after treatment of motor and sensory scores case no significant difference (P> 0.05). Tips Acupuncture can improve hand motor and sensory situation.4After the treatment, each compared to previous scores and changes in treatment4.1 VAS scores of changes:The treatment group and control group VAS score improvement by comparing changes in the treatment group scores than the control group, and there are significant differences (P<0.05), description of acupuncture for pain improvement than the control group.4.2 PPI score changes of comparison:The present pain intensity treatment group and control group after treatment were compared PPI score changes, the treatment group was significantly higher in both groups score difference was statistically significant (P<0.05), prompted acupuncture group present pain the degree of improvement than the control group.4.3 Two motor and sensory changes in comparison:The movement of the hand treatment group and control group after treatment were compared feeling score changes, the treatment group was significantly higher in both groups score difference was statistically significant (P 0.05), hand movement prompted treatment group feeling the degree of improvement than the control group.5 EvaluationAccording ulnar nerve Chinese Medical Hand Surgery Society to develop repair assessment trial standards and Lascar grading evaluate the efficacy of the treatment group: good 34 cases,2 cases, the total efficiency of 94.4%; control group:good in 5 cases,26 cases and poor in 2 cases, the total efficiency of 15.2% in the treatment group and the control group was significantly different (P<0.05). This describes the overall effect of acupuncture treatment than the control group.Conclusions and Significance1 Acupuncture for cubital tunnel syndrome have a significant effect, with light to moderate better. Conservative treatment of mild to moderate disease provide clinical data, but also expanded the scope of acupuncture treatment.2 Its effect mainly in the analgesic effects of acupuncture. Pain relief so that movement due to nerve entrapment generated sensory impairments improved. For further study provides clinical evidence of the disease in the future, but also to explore the therapeutic mechanism laid a clinical basis.
Keywords/Search Tags:ulnar nerve, ulnar nerve entrapment, cubital tunnel syndrome, acupuncture, pain
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