中国中西医结合外科杂志2025，Vol.31Issue(3)：368-372,5.DOI:10.3969/j.issn.1007-6948.2025.03.010
芪参还五胶囊联合穴位贴敷对肘管综合征术后手功能恢复的临床疗效
Clinical efficacy of Qishen Huanwu capsule combined with acupoint application on postoperative hand function recovery in patients with cubital tunnel syndrome
高嘉桧 1李建华 1程继博 2张晓丽 3王子瑜 3李统 3宿晓雷3
作者信息
- 1. 华北理工大学(唐山 063000)
- 2. 承德医学院(承德 067000)
- 3. 河北省沧州中西医结合医院手显微外一科(沧州 061000)
- 折叠
摘要
Abstract
Objective To investigate the clinical efficacy of Qishen Huanwu Capsules combined with acupoint application in the recovery of ulnar nerve and hand function after surgery for moderate to severe cubital tunnel syndrome.Methods 100 patients with moderate to severe cubital tunnel syndrome who underwent ulnar nerve release surgery at Cangzhou Hospital of Traditional Chinese and Western Medicine in Hebei Province from August 2022 to August 2024 were randomly divided into an observation group and a control group,with 50 patients in each group.The control group was treated with mecobalamin tablets,while the observation group was treated with mecobalamin tablets combined with Qishen Huanwu capsules and acupoint application after surgery.After 3 months of treatment,the ulnar nerve motor conduction velocity,two-point discrimination sensation of the ring little finger,positive pinch force of the thumb index finger,lateral pinch force of the thumb index finger,and grip force were compared between the two groups of patients.Results The ulnar nerve motor conduction velocity in the observation group was higher than that in the control group[(46.06±8.04)m/s vs(42.28±8.22)m/s];The discrimination values of the ring finger and little finger were lower than those of the control group[(12.04±2.54)mm,(12.06±2.17)mm vs(13.24±2.82)mm,(13.14±3.15)mm];The positive pinching force of the thumb index finger was stronger than that of the control group[(5.33±2.07)N vs(4.56±1.66)N];The lateral pinching force of the thumb index finger was stronger than that of the control group[(6.18±2.10)N vs(5.29±1.69)N];The grip strength was stronger than that of the control group[(28.15±6.02)N vs(25.09±7.56)N],and the overall excellent and good rate of the observation group was higher than that of the control group(96％vs 84％),with statistical significance(P＜0.05).Conclusion The combination of Qishen Huanwu capsules and acupoint application can promote postoperative sensory and motor function recovery in patients with cubital tunnel syndrome,and has good clinical efficacy.关键词
肘管综合征/芪参还五胶囊/穴位贴敷/尺神经/感觉及运动Key words
Cubital tunnel syndrome/Qishen Huanwu capsules/acupoint application/ulnar nerve/sensory and motion分类
医药卫生引用本文复制引用
高嘉桧,李建华,程继博,张晓丽,王子瑜,李统,宿晓雷..芪参还五胶囊联合穴位贴敷对肘管综合征术后手功能恢复的临床疗效[J].中国中西医结合外科杂志,2025,31(3):368-372,5.
