Sri Wahdini, Christina Simadibrata
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摘要

De Quervain 's腱鞘炎是一种茎突疼痛和水肿的疾病,是由于包裹拇长外展肌(APL)和拇短伸肌(EPB)肌腱的鞘增厚所致。DeQuervain腱鞘炎的治疗包括药物治疗与保守治疗相结合,如果治疗失败则需要手术干预。如有德奎尔凡氏腱鞘炎,可针灸止痛。报告该病例一名52岁的女性,自两个月前就抱怨左手拇指疼痛和僵硬,前往Poliklinik Akupunktur博士Cipto Mangunkusumo国立医院。体格检查发现左手腕APL区、EPB区有压痛和痉挛,VAS 4,第一腕掌关节功能受限,Finkelstein试验阳性。在LI5、LU7、LU9、Ashi穴进行针灸治疗。腕掌关节疼痛减轻,功能改善。针灸对德奎文氏症患者的疼痛和僵硬有很好的疗效。
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Akupunktur sebagai Terapi De Quervain’s Tenosynovitis
De Quervain’s tenosynovitis is a disease with pain and edema in the styloid process due to thickening of the sheathsthat encase the tendons of abductor pollicis longus (APL) and extensor pollicis brevis (EPB). Management of DeQuervain’s tenosynovitis include pharmacotherapy combined with conservative therapy and if it fails then surgicalintervention is required. In case of De Quervain’s tenosynovitis, acupuncture for relieving pain and stiffness. Reportedthe case of a woman aged 52 year, complaints of pain and stiffness in the left thumb since two months before went tothe Poliklinik Akupunktur dr. Cipto Mangunkusumo Nasional Hospital. On physical examination the left wrist areafound tenderness and spasm in the area of APL and EPB, VAS 4, there was limitation in the first carpometacarpal jointfunctional and Finkelstein’s test was positive. Acupuncture therapy done at the point LI5, LU7, LU9 and Ashi. Therewas pain reduction and functional improvement of the carpometacarpal joints. Acupuncture gives good results forpain and stiffness in patients with de Quervain’s.
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