| BackgroundCarpal tunnel syndrome (CTS) is the most common peripheral nerve entrapment disorders. CTS is currently increasing number of clinical onset, but nowadays most versions of textbooks are not documented one finger pushing method of treatment, and clinical rarely with one finger push treatment of CTS, multi-use rubbing method for treatment. CTS is due to acute and chronic wrist injury, resulting in local inflammation inside the carpal tunnel, tissue fluid retention, tendon pathological proliferation of the tube, the tube leading to increased pressure on the median nerve, sensory abnormalities and dominated zone dysfunction. From a biomechan-ical point of view, one finger pushing method compared to conventional clinical rubbing method faster frequency, intensity is more deep, more lasting sense of pressure. This principle role and pathogenesis of carpal tunnel syndrome based on this guess one finger pushing technique is an effective treatment of the disease, more effective treatment CTS.ObjectiveBy observing the medium frequency electrotherapy and moxibustion with One Finger Zen manipulation for the treatment of carpal tunnel syndrome clinical efficacy and safety, to preliminarily explore the effects and mechanism of One Finger Zen manipulation have in the treatment of carpal tunnel syndrome, thus a deeper understanding of the clinical significance of One Finger Zen manipulation.MethodsFrom the First Affiliated Hospital of Guangzhou University of Tradi-tional Chinese Medicine and the Guangdong Provincial Traditional Chinese Medicine Hospital, this research is screened out the carpal tunnel syn- drome patients meeting the design requirement, a total of60cases;and randomly divided into two groups,30cases in each group. On the basis of moxibustion treatment, the experimental group with one finger pushing method getting acupuncture treatment and control group in clinical rou-tine rubbing method getting acupuncture treatment. By comparing observed changes before and after treatment in patients with wrist radial devia-tion, ulnar deviation, dorsiflexion, palmar flexion motor function, and make score before and after treatment of patients with Levine carpal tunnel syndrome score sheet and VAS pain scale, to evaluate the efficacy of One Finger Zen manipulation in the treatment of carpal tunnel syn-drome, with Spssl9.0software package for statistical analysis of all data, including measurement data using t test, ranked data using Rid it analysis, to compare treatment outcomes whether there are differences.Results1. Experimental group and control group before and after treatment wrist radial deviation, ulnar deviation, dorsiflexion, palmar flexion motor function were compared within the group therapy can effectively improve the ipsilateral wrist movement (P<0.01);while between groups comparison shows that in terms of improving the wrist dorsiflexion, palmar flexion movement and other experimental group than in the control group was statistically significant (P<0.01), the test group than the control group showed improvement in motor function above the wrist;improving wrist radial deviation, ulnar deviation, etc. between the two groups was not statistically significant (P>0.05), showed no significant difference between treatment groups in improving the clinical significance of these symptoms.2.Experimental group and control group before and after treatment wrist ipsilateral motor function of the total score, comparing before and after treatment group had a statistically significant (P<0.01), described the test group and the control group were effective in improving the overall function of wrist movement;treatment among the groups affected wrist movement function of the total value of statistically significant improvement (P<0.01), the test group than the control group showed impro-vement in the affected wrist overall motor function.3. Experimental group and control group before and after treatment of carpal tunnel syndrome Levine and VAS pain score sheet rating scale, comparison shows that the two groups before and after treatment were effective coverall improvement of clinical symptoms in patients wrist and hand pain, numbness in the group before and after treatment (P<0.01); between treatment groups displayed in improving patient wrist and hand pain, numbness and other symptoms of the two groups was not statistically significant (P>0.05),both groups showed improvement in the treatment of wrist and hand pain, numbness, etc. The clinical significance of the symptoms was no significant difference.4. Experimental group compared with the overall clinical significance of the control group, a group pushing method refers to the total treatment of patients with CTS effective rate was100%in the control group, the clinical routine treatment of CTS patients rubbing the total effective rate96.67%, showed no statistically significant (P>0.05), described the two treatments to improve the CTS symptoms are valid, the test group and the control group, the clinical significance quite.5. The control group during the treatment had no significant adverse reactions, the experimental group during the treatment,19subjects received treatment after completion of one finger pushing method, Dal ing site by the surgeon, and other points within the relevant parts of the surface skin sometimes appear flushing and accompanied by continuous subcutaneous soreness at acupoints symptoms,0.5to2hours after the symptoms and relieve itself, not accompanied by other specific symptoms. Preliminary inferred surgery site with soreness flushing symptoms appear may be adjusted with a finger to push blood to run, accelerate blood circulation effect the surface by about19patients.ConclusionClinical studies suggest that one finger pushing method can signific-antly improve overall motor function in patients with ipsilateral CTS wrist,especially in improving dorsiflexion and wrist flexion function significantly better than routine clinical rubbing method, the total efficiency of the treatment up to100%, the safety of its operations, non-toxic side effects, a significant effect, with a high clinical value. |
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