|
目的: 比较腕隧道症候群的患者接受传统针灸治疗和雷射针灸治疗後的症状变化及疗效差异。
方法：受试者随机分成三组(1) 雷射针灸组: 在患侧内关穴、大陵穴执行下列治疗模式: 能量400 毫瓦，连续波幅，810 奈米波长，每个穴位治疗1分钟(2) 安慰剂组: 采用相同治疗模式但无能量输出(3) 传统针灸组: 捻针得气後留针30 分钟) 一周2 次，共4 周疗程。在相同穴位给予治疗。全般性症状分数评估与神经电生理检查用於结果测量。
结果：针灸组全般性症状分数评估总分、疼痛、麻木、感觉异常、无力、夜醒在第2 周和第4 周较基准期显着降低。雷射针灸组全般性症状分数评估总分、麻木、感觉异常和无力在第 2 周和第 4 周较基准期显着降低。安慰剂组全般性症状分数评估在第2 周和第4 周较基准期显着降低。
针灸组与雷射针灸组相比在第4 周的夜醒有明显降低。针灸组与安慰剂组相比所有测量得分均显着降低。与安慰剂组相比，雷射针灸组除疼痛和夜醒外的所有测量值均显着降低。
神经电生理检查较基准期的变化在组内和组间均不显着。
结论：两种治疗组的疗效皆优安慰剂组。夜醒次数是传统针灸优於雷射针灸，其它方面雷射针灸与传统针灸无显着差异。
|
|
Lin Li-Feng1Tsai I-Ju2Yang Chun-Pai3Lee Yu-Chen4
1Department of Chinese Medicine, Kuang Tien General Hospital, Taichung, Taiwan
2Department of Medical Research, Kuang Tien General Hospital, Taichung, Taiwan
3Department of Neurology, Kuang Tien General Hospital, Taichung, Taiwan
4Department of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan
|
|
Objectives: The aim of this trial was to compare the changes in symptoms of inpatients treated with conventional acupuncture and laser acupuncture and to compare the efficacy of the two treatments
Methods: Participants were randomly divided into three groups: (1) Laser acupuncture group: performed at PC6 and PC7 on the affected side with the following protocol: 400 mW, continuous wavelength, 810 nm, 1 minute per point (2) Placebo group: with the same protocol but without energy output. (3) Traditional acupuncture group: retention of needle for 30 minutes after de-qi sensation. Twice a week for 4 weeks. Global Symptom Score and Nerve Conduction Study were used to measure symptom changes.
Results: Among all participants in the acupuncture group, total scores, pain, numbness, paresthesia, weakness, and nocturnal awakening all decreased from baseline at weeks 2 and 4. Among all participants in the laser acupuncture group, total scores, pain, numbness, paresthesia, and weakness decreased from baseline at weeks 2 and 4. Among all participants in the placebo group, total scores decreased from baseline at weeks 2 and 4. Compared with the laser group, scores on nocturnal awakening were lower at weeks 4 in acupuncture group. Scores on all measures were lower in the conventional acupuncture group compared with the placebo group. Compared with the placebo group, scores on all measures except pain and nocturnal awakening were lower in the laser group. The change from baseline in NCS was not significant within or between groups.
Conclusion: Both treatment groups demonstrated better efficacy than the placebo group. Except for nocturnal awakening, which showed superior efficacy in the conventional acupuncture group than in the laser acupuncture group, there were no significant differences between the laser acupuncture group and the conventional acupuncture group.
【Keywords】laser acupuncture, manual acupuncture, carpal tunnel syndrome
|
262.2 传统针灸与雷射针灸对腕隧道症候群疗效比较：一个随机临床试验
