扶他林软膏外用治疗轻中度腕管综合征疗效观察.docVIP

扶他林软膏外用治疗轻中度腕管综合征疗效观察 　　doi：10.3969/j.issn.1007-614x.2014.16.27 　　摘 要 目的：对比观察扶他林软膏外用治疗腕管综合征的疗效。方法：把68例轻中度腕管综合征患者随机分成扶他林软膏外用组和扶他林片剂口服组。两组均减少双手和手腕的活动，并口服维生素B1和弥可保30天。结果：两组于治疗后7天和30天对比分析，扶他林软膏外用组的疗效明显高于对照组，差异有统计学意义（P0.05）。结论：扶他林软膏外用与口服扶他林片剂对比具有疗效好、见效快、不良反应少的特点。 　　关键词 扶他林软膏 腕管综合征 疗效 　　Curative effect observation of voltaren ointment in the treatment of mild to moderate carpal tube syndrome 　　Song Zhengfeng 　　Department of Neurology，the Central Peoples Hospital of Tengzhou City，Shandong 277500 　　Abstract Objective：To observe the curative effect of voltaren ointment in the treatment of carpal tunnel syndrome.Methods：68 cases with mild to moderate carpal tunnel syndrome were randomly divided into the voltaren ointment treatment group and the votalin pill oral treatment group according to the inclusion criteria.The two groups were reduced both hands and wrists activity，and oral vitamin B1 and mecobalamin for 30 days.Results：We analyzed the results between the two groups after the treatment for 7 days and 30 days.The curative effect of the voltaren ointment group was significantly higher than that of the control group，and there was statistically significant difference（P0.05）.Conclusion：The voltaren ointment has good curative effect，quick effect，fewer side effects and other characteristics than the oral voltaren tablets. 　　Key words Voltaren ointment；Carpal tunnel syndrome；Curative effect 　　腕管综合征为临床最常见的周围神经卡压疾病之一，腕管综合征的病理基础是正中神经在腕部的腕管内受卡压，常见病因为手的过度活动。我院在临床中发现扶他林软膏外用治疗慢性损伤导致的腕管综合征（排除骨折和腕内肿物等病因）取得良好疗效。 　　资料与方法 　　2013年1月-10月收治腕管综合征患者68例，其中扶他林软膏外用组33例，扶他林片剂口服组35例。扶他林软膏外用组男10例，女23例，年龄（35±13）岁，共48腕，病程1个月～1年。扶他林片剂口服组男12例，女23例，年龄（36±15）岁，共50腕，病程1个月～1年不等。疗程30天。两组患者在性别、年龄、病程等一般资料方面差异无统计学意义（P0.05），具有可比性。 　　纳入及排除标准：纳入标准：符合慢性损伤导致的腕管综合征的临床表现及诊断要点[1]；肌电图诊断：采用汤晓芙的诊断标准[2]。排除由外伤或腕管内肿物压迫导致腕管综合征。 　　方法：建议两组患者减少双手和手腕的活动，并口服维生素B1片剂10mg和弥可保片剂0.5mg，均3次/日。治疗组通过外用扶他林涂抹患侧腕关节3次/日，应用30天。对照组口服扶他林片剂50mg，3次/日，应用30天。 　　疗效判定标准：采用Kelly评定标准进行疗效评估。①优：功能完全恢复正常；②良：偶有轻度症状；③可：仍有部分症状；④差：症状同前或加重。 　　统