标题：小针刀联合体外冲击波治疗拇指屈指肌腱狭窄性腱鞘炎的疗效及其对毛细血管动脉频谱的影响

      作者：苏诚欢，谭文伟，李杰俊    江门市新会区中医院康复科，广东 江门 529100

      卷次： 2022年33卷16期

      【摘要】 目的 探讨应用小针刀联合体外冲击波治疗拇指屈指肌腱狭窄性腱鞘炎的疗效及对患者毛细血管动脉频谱的影响。方法 选择2019年1月至2020年12月江门市新会区中医院收治的80例拇指屈指肌腱狭窄性腱鞘炎患者为研究对象，按照随机数表法将患者分为研究组与对照组各40例，对照组患者于痛性硬结远侧注射药物治疗，研究组患者给予小针刀联合体外冲击波治疗。随访3个月后，比较两组患者的临床疗效、毛细血管动脉频谱指标[收缩期峰值流速(PSV)、阻力指数(RI)、舒张末期流速(EDV)]、手指功能分级、3个月复发率及视觉模拟评分(VAS)。结果 研究组患者的治疗总有效率为92.50%，明显高于对照组的72.50%，差异有统计学意义(P<0.05)；研究组患者治疗后当时、7 d的PSV、RI、EDV水平明显高于对照组，差异均有统计学意义(P<0.05)；研究组患者的手指功能0级、1级分别为72.50%、25.00%，明显高于对照组的55.00%、12.50%，2级、3级分别为2.50%、0，明显低于对照组的 22.50%、10.00%，差异均有统计学意义(P<0.05)；研究组患者 3个月复发率为 12.50%，明显低于对照组的47.5%，差异有统计学意义(P<0.05)；研究组患者治疗后当时、1周、1个月、3个月的VAS评分分别为(4.67±1.19)分、(3.44±1.48)分、(2.56±1.21)分、(1.04±1.20)分，明显低于对照组的(6.29±1.37)分、(5.45±1.29)分、(5.06±1.16)分、(3.83±1.28)分，差异均有统计学意义(P<0.05)。结论 小针刀联合体外冲击波治疗拇指屈指肌腱狭窄性腱鞘炎能使毛细血管动脉频谱指标恢复更快，治疗效果显著，且复发率低，值得推广应用。
      【关键词】 拇指屈指肌腱狭窄性腱鞘炎；小针刀疗法；体外冲击波；收缩期峰值流速；阻力指数；舒张末期流速；视觉模拟评分
      【中图分类号】 R686.1 【文献标识码】 A 【文章编号】 1003—6350（2022）16—2075—04

Therapeutic effect of small needle knife combined with extracorporeal shock wave therapy in the treatment ofstenosing tenosynovitis of thumb flexor tendon and the influence on capillary artery frequency spectrum.
SUCheng-huan, TAN Wen-wei, LI Jie-jun. Department of Rehabilitation, Jiangmen Xinhui District Hospital of TraditionalChinese Medicine, Jiangmen 529100, Guangdong, CHINA
【Abstract】 Objective To explore the effect of small needle knife combined with extracorporeal shock wavetherapy in the treatment of stenosing tenosynovitis of thumb flexor tendon and its influence on capillary artery frequen-cy spectrum. Methods Eighty patients with stenosing tenosynovitis of thumb flexor digitorum treated in Jiangmen Xin-hui District Hospital of Traditional Chinese Medicine from January 2019 to December 2020 were selected as the re-search objects. According to the random number table method, they were divided into a study group and a control group,with 40 patients in each group. The patients in the control group were given drug injection at the distal side of the painfulinduration, and the patients in the study group were given small needle knife combined with extracorporeal shock wavetherapy. After 3 months of follow-up, the clinical efficacy, the capillary arterial spectrum indexes [peak systolic flow rate