Clinical Effect Of Hegu Acupuncture On Mild To Moderate Carpal Tunnel Syndrome

ObjectiveThrough a comparative study of Hegu acupuncture and conventional acupuncture in the treatment of mild to moderate carpal tunnel syndrome(CTS),this study evaluated the improvement of symptoms in patients with mild to moderate carpal tunnel syndrome before treatment,2 weeks after treatment and 4 weeks after treatment,so as to objectively reflect the clinical efficacy of this research method.We can probe into the principles of the curative effect and mechanism of action to treat the mild to moderate carpal tunnel syndrome with Hegu needing.In order to make the patients obtain the better treatment,we are trying to offer a new novel way of thinking and an approach to therapy.MethodsThe cases included in this study were from June 2020 to January 2021 in the Department of Orthopaedics,Massage and Encephalopathy Acupuncture Clinic of the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine.There are 62 patients fitting the diagnostic criteria for mild to moderate Carpal Tunnel Syndrome in both western and Chinese medicine.In the statistical software SPSS25.0generated random numbers table under the premise,the sufferers were divided into31 patients in Hegu needing group and 31 patients in the conventional acupuncture group by the method of randomized controlled trial.They were divided into Hegu acupuncture group and routine acupuncture group by randomized controlled trials,with 31 patients in each group.Two groups of patients must receive conventional basic treatment,the treatment group under the premise of basic treatment,to《Psyche》 ’ five acupuncture ’ Zhonghegu acupuncture treatment,acupoints Yangxi,Waiguan,Hegu,Laogong;The patients in the twogroups were selected at three time points before treatment,two weeks after treatment were treated once a day,Five sessions,and could have 2 days’ rest,continuous treatment for 4 weeks.The patients in the two groups were selected at three time points before treatment,two weeks after treatment and four weeks after treatment.Levine score,VAS pain score,wrist function score and the positive rate of induced test were recorded,and the adverse reactions were observed.Results1 Baseline data analysis : There was no significant difference in gender,age,course of disease,Levine score,VAS score,wrist function score,Tinels positive rate and Phalen positive rate between the groups before treatment(P > 0.05).2 Analysis of Levine carpal tunnel syndrome scale scores: intra-group comparison showed that after 4 weeks of treatment,Levine scores in both groups were lower than those before treatment,with statistical significance(P < 0.05);Comparison between groups,after for 4 weeks,the treatment group score was lower than those of control group,the difference is statistically significant(P < 0.05),indicating that the treatment group in improving the finesse of sensory dysfunction and daily life ability of improving the finger grip is better than that in control group.3 VAS score analysis : intra-group comparison showed that after 4 weeks of treatment,VAS scores in 2 groups were lower than those before treatment,the difference was statistically significant(P < 0.05);Comparison between groups,after for 4 weeks,the treatment group score was lower,the difference is statistically significant(P < 0.05).It indicates that the treatment is more effective in relieving wrist pain in patients with carpal tunnel syndrome.4 Analysis of wrist function score: intra-group comparison showed that after 4weeks of treatment,the wrist function score of patients in both groups was higher than before,with statistical significance(P < 0.05);Comparison between groups,4 weeks later,the score of treatment group was higher than that of control group,the difference is statistically significant(P < 0.05),indicating that li4 sting therapy in improving the activities such as wrist flexion and extension function in patients with carpal tunnel syndrome,curative effect is better than the control group.5 Analysis of positive rate of inducing test: intra-group comparison showed that after 4 weeks of treatment,the number of positive cases of wrist percussion test(Tinels sign)and flexion test(Phalen sign)in 2 groups decreased compared with before treatment,with statistical significance(P < 0.05).Comparison between groups showed that after 4 weeks of treatment,the number of positive cases in the treatment group was less than that in the control group,and the difference was statistically significant(P < 0.05).The effect of the treatment group was more excellent.6 Comprehensive efficacy analysis of the two groups of patients : 30 cases in each group,4 cases were full recovery(13.33 %),14 cases were preeminently effective(46.67 %),9 cases were valid(30 %),3 cases were of no avail(10 %),and the total effective percentage was 90.00 %;In the control group,1 case was cured(3.33 %),5 cases were eminently effective(16.67 %),19 cases were effective(63.33 %),5 cases were Invalid(16.67 %),and the overall effective per cent was83.33 %.After examination,it is meaningful for the distinction between both groups(P = 0.005 < 0.05),manifesting that Hegu needing is more valid for the sufferers of mild to moderate carpal tunnel syndrome than the ordinary acupuncture.Conclusion1 Both Hegu acupuncture and conventional acupuncture have certain clinical efficacy in treating patients with mild to moderate carpal tunnel syndrome.2 The overall clinical effect of Hugu acupuncture in the treatment of mild-to-moderate carpal tunnel syndrome is significant.This therapy can not only relieve the pain and clinical symptoms of patients with mild-to-moderate carpal tunnel syndrome,but also improve the daily living ability of patients with wrist flexion and extension,grasping and lifting,as well as the rehabilitate of wrist capacity and median nerve function.The quality of life of patients was improved.3 Compared with the conventional acupuncture,the overall effective rate of hegu acupuncture is superior to that of the control group,and has better clinical efficacy for the treatment of mild to moderate carpal tunnel syndrome,which is worthy of application and promotion.