Clinical Observation on Herbal-Cake-Separated Moxibustion Combined with Surround Needling in Treating25 Cases of Stenosing Tendovaginitis of Radial Styloid

LI Ru; JIN Xiaofei; CHEN Lifang; ZHANG Quanai

doi:10.13288/j.11-2166/r.2018.10.013

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Clinical Observation on Herbal-Cake-Separated Moxibustion Combined with Surround Needling in Treating25 Cases of Stenosing Tendovaginitis of Radial Styloid

更新时间：2021-11-10

- Clinical Observation on Herbal-Cake-Separated Moxibustion Combined with Surround Needling in Treating25 Cases of Stenosing Tendovaginitis of Radial Styloid
- Journal of Traditional Chinese Medicine Vol. 59, Issue 10, Pages: 866-870(2018)
- 作者机构：
  
  1. 浙江中医药大学第三临床医学院
  2. 浙江中医药大学附属第三医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2018.10.013
  CLC： R274.9
- Published：2018
- 稿件说明：
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[1]李茹,金晓飞,陈利芳,张全爱.隔药饼灸结合围刺疗法治疗桡骨茎突狭窄性腱鞘炎25例临床观察[J].中医杂志,2018,59(10):866-870.

LI Ru, JIN Xiaofei, CHEN Lifang, et al. Clinical Observation on Herbal-Cake-Separated Moxibustion Combined with Surround Needling in Treating25 Cases of Stenosing Tendovaginitis of Radial Styloid[J]. Journal of Traditional Chinese Medicine2018, 59(10): 866-870.
[1]李茹,金晓飞,陈利芳,张全爱.隔药饼灸结合围刺疗法治疗桡骨茎突狭窄性腱鞘炎25例临床观察[J].中医杂志,2018,59(10):866-870. DOI： 10.13288/j.11-2166/r.2018.10.013.

LI Ru, JIN Xiaofei, CHEN Lifang, et al. Clinical Observation on Herbal-Cake-Separated Moxibustion Combined with Surround Needling in Treating25 Cases of Stenosing Tendovaginitis of Radial Styloid[J]. Journal of Traditional Chinese Medicine2018, 59(10): 866-870. DOI： 10.13288/j.11-2166/r.2018.10.013.

摘要

目的评价隔药饼灸结合围刺疗法治疗桡骨茎突狭窄性腱鞘炎的临床疗效。方法将50例桡骨茎突狭窄性腱鞘炎患者随机分为治疗组和对照组各25例

治疗组予局部隔药饼灸及围刺疗法

隔日1次

连续治疗7次;对照组予扶他林乳胶剂适量外用涂擦

每日3次

两组均治疗2周

随访3个月。治疗前后及随访时进行视觉模拟量表（VAS）评分和Cooney腕关节量表评分。治疗后评价临床疗效。结果治疗组治愈22例（88.0%）

好转3例（12.0%）

无效0例;对照组治愈15例（60.0%）

好转3例（12.0%）

无效7例（28.0%）。治疗组临床疗效总有效率为100%

明显高于对照组的72%（P<0.05）。两组患者治疗后及随访时VAS评分均较治疗前明显降低（P<0.05）

治疗组的VAS评分在治疗后和随访时均明显低于对照组（P<0.05）。两组患者治疗后及随访时Cooney腕关节量表中的疼痛、功能、握力、活动范围、活动度评分及总积分均较治疗前明显升高（P<0.05）;随访时治疗组各指标明显高于对照组（P<0.05）。结论隔药饼灸结合围刺疗法与单纯扶他林乳胶剂外用相比

可明显改善桡骨茎突狭窄性腱鞘炎的疼痛症状及腕关节活动度

临床疗效较理想。

Abstract

Objective To evaluate the clinical effect of the treatment of the herbal-cake-separated moxibustion combined with the surround needling for stenosing tendovaginitis of radial styloid. Methods Fifty patients with stenosing tendovaginitis of radial styloid were randomly divided into the control group and the treatment group

with 25 patients in each group. The treatment group received the combined treatment of herbal cake-separated moxibustion and surround needling

once every other day

7 times treatment totally. The control group was treated with Voltaren Gel

three times a day for 2 weeks

with 3 months’ follow-up visit. Visual Analog Scale（ VAS）

and Cooney wrist joint rating scale were measured before and after treatment and during follow-up visit. The effective rate was evaluated after treatment. Results In the treatment group

22 cases were cured（ 88. 0%）

3 cases improved（ 12. 0%）

and no case showed no effect. In the control group

15 cases were cured（ 60. 0%）

3 cases improved（ 12. 0%）

and 7 cases showed no effect（ 28. 0%）. The total effective rate in the treatment group was 100%

which was significantly higher than 72% of control group（ P < 0. 05）. VAS of two groups after treatment and during the follow-up visit was significantly decreased compared with before treatment（ P < 0. 05）. VAS of treatment group after treatment and during follow-up visit was significantly lower than the control group（ P < 0. 05）. Pain

function

grip strength

range of motion

flexion/extension activity and total score of Cooney wrist joint rating scale of two groups after treatment and during follow-up visit were significantly higher than before treatment（ P < 0. 05）. The index of treatment group during follow-up visit was significantly higher than control group（ P < 0. 05）. Conclusion Compared with external application of Voltaren Gel

the combined treatment of herbal cake-separated moxibustion and the surround needling can significantly reduce pain and improve the functions of the wrist joint for stenosing tendovaginitis of radial styloid

with ideal clinical efficacy.

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