Analysis of Therapeutic Effects of Median Neurolysis with Small Incision Combine with Acupoint Injection and Sequential Therapy in Treatment of Carpal Tunnel Syndrome
ZHOU Jia-xin,LING Li,WANG Lin
Department of Hand and Foot Surgery, Keqiao District Hospital of Traditional Chinese Medicine, Shaoxing312030, China
Abstract:
Objective To analyze the clinical efficacy of median neurolysis with small incision combine with acupoint injection and sequential therapy in the treatment of carpal tunnel syndrome (CTS) and its effect on nerve function. Methods 60 patients with CTS treated in our hospital from June 2018 to June 2020 were randomly divided into control group and observation group, with 30 cases in each group. The two groups of patients were treated with median neurolysis with small incision by the same group of doctors. They were divided into observation group and control group according to the postoperative rehabilitation measures. Both groups were treated with neurotrophic drug mecobalamin. The control group was treated with oral treatment and the observation group was treated with acupoint injection. 10 days was a course of treatment and both groups were treated for 2 consecutive courses. The patients in the two groups were followed up once before operation and 1, 2, 3, 4, 5, 6, 9 and 12 months after operation. The Levine carpal tunnel syndrome score and EMG indexes: median nerve sensory conduction velocity (SCV), sensory nerve action potential amplitude (SNAP), motor nerve terminal motor latency (DML) were compared between the two groups before operation, 6 months and 12 months after operation. After two courses of postoperative rehabilitation treatment, the curative effects and the incidence of adverse reactions were compared between the two groups. Results 6 months and 12 months after operation, the severity score, functional state score and Levine total score of the two groups were lower than those of the control group, and the above scores of the observation group were lower than those of the control group (P＜ 0.05). 6 months and 12 months after operation, the SCV and SNAP of median nerve in the two groups increased compared with 1 day before operation, the DML in the observation group was higher than that in the control group and the DML in the observation group was lower than that in the control group (P＜ 0.05). After two courses of postoperative rehabilitation treatment, the total clinical effective rate in the observation group was higher than that in the control group (P＜0.05). There was no significant difference in the rate of adverse drug reactions between the two groups (P＜0.05). Conclusion Median neurolysis with small incision combine with acupoint injection and sequential therapy in the treatment of carpal tunnel syndrome can effectively improve the clinical ef.cacy and promote the recovery of nerve function, with high safety and high clinical value.
