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目的:比较针灸刀与封闭治疗屈指肌腱狭窄性腱鞘炎的疗效差异,探寻较优疗法。方法:将304例患者随机分为针灸刀组(164例)和封闭组(140例)。于患指压痛点和硬结处,针灸刀组应用任氏钩型针灸刀行勾割治疗,封闭组行常规封闭治疗。治疗1~2次后观察两组疗效以及治疗后6个月的复发情况。结果:针灸刀组治愈率为98.2%(161/164),优于封闭组的65.7%(92/140);针灸刀组复发率为1.9%(3/161),低于封闭组的37.0%(34/92),组间差异均有统计学意义(均P<0.01)。结论:针灸刀治疗屈指肌腱狭窄性腱鞘炎疗效优于封闭治疗,且复发率低。
Objective: To compare the curative effects of acupuncture and closed treatment of stenosing tenosynovitis of the flexorulous tendon, and to explore better therapies. Methods: 304 patients were randomly divided into acupuncture group (164 cases) and closure group (140 cases). At the point of tenderness and induration, acupuncture and moxibustion group were given hook hook acupuncture moxibustion hook hook treatment, closed group routine closed treatment. After treatment for 1 or 2 times, the curative effect of both groups and the relapse of 6 months after treatment were observed. Results: The cure rate of acupuncture group was 98.2% (161/164), which was better than that of the occlusion group (65.7%, 92/140). The recurrence rate of the acupuncture group was 1.9% (3/161) (34/92) respectively. There was significant difference between the two groups (all P <0.01). Conclusion: Acupuncture and moxibustion treatment of tendon stenoses tendon stenosis better than closed treatment, and the recurrence rate is low.