经典针刺治疗腕管综合征的临床研究

Larry Alexander Ibarra Fredes , Jorge Magalhães Rodrigues , Lara Teixeira Lopes , Jorge Pereira Machado
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引用次数: 0

摘要

目的探讨经典针灸治疗腕管综合征(Carpal Tunnel Syndrome, CTS)的临床疗效,以及经典针灸治疗与当前解剖学生理知识之间的关系。设计对CTS患者进行临床研究。这些治疗是由一名有执照的针灸师在一家私人医疗诊所进行的。5名参与者表现出症状,持续时间不少于6 个月,通过肌电图诊断,另外Phalen操作试验呈阳性。所有患者均有手术指征。干预措施:在一个治疗周期中应用中国古典针灸。主要测量方法:视觉模拟量表(VAS)用于评估白天感觉异常、夜间感觉异常、疼痛、强度下降和压力痛阈值的不适程度。结果各项指标均有明显改善。疼痛(- 7,4分)、白天感觉异常(- 5,2分)、夜间感觉异常(- 6,2分)和力量丧失(- 4,6分)的平均差异为负,而压力疼痛阈值的估计为正(+ 0,683 kgf/cm2)。结论经针刺治疗后,各项指标均有改善,提示并支持CTS临床疗效的证据。
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Effects of classical acupuncture in the treatment of carpal tunnel syndrome: A clinical study

Objective

The purpose of this clinical study is to demonstrate the effect of classical acupuncture on the Carpal Tunnel Syndrome (CTS) and the relationships that integrate the view of classical acupuncture treatment with current anatomical-physiological knowledge.

Design

A clinical study was carried out with patients with CTS.

Setting

The treatments were conducted in a private healthcare practice by a licensed acupuncturist.

Participants

The five participants presented symptomatology for a period of no less than 6 months, had been diagnosed through electromyography, and additionally showed a positive test for Phalen's maneuver test. All the patients had surgical indications.

Interventions

Classical Chinese acupuncture was applied during a cycle of treatments.

Main measurements

The Visual analog scale (VAS) was used to assess the level of discomfort regarding daytime paresthesia, nighttime paresthesia, pain, decrease in strength, and a proposed converted value of pressure pain threshold.

Results

All the parameters showed significant improvement. The mean difference was negative for pain (− 7,4 points), daytime paresthesia (− 5,2 points), nighttime paresthesia (− 6,2 points), and loss of strength (− 4,6 points), whereas the estimation for the pressure pain threshold was positive (+ 0,683 kgf/cm2).

Conclusions

In the analysis of the results obtained through the classical acupuncture therapy, all parameters showed an improvement, which suggests and supports evidence of clinical efficacy on the CTS.

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来源期刊
Revista Internacional de Acupuntura
Revista Internacional de Acupuntura Medicine-Complementary and Alternative Medicine
CiteScore
0.60
自引率
0.00%
发文量
18
审稿时长
85 days
期刊介绍: La primera revista científica en español que permite estar al día sobre avances en terapias no convencionales, favoreciendo la renovación crítica y constante de los conocimientos ya adquiridos. Cuenta con los prestigiosos contenidos de la Deustche Zeitschrift f?r Akupunktur (DZA) alemana y artículos nacionales
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