针灸临床杂志2026，Vol.42Issue(1)：35-40,6.DOI:10.19917/j.cnki.1005-0779.026007
超声引导小针刀联合隔姜灸治疗成人屈指肌肌腱狭窄性腱鞘炎对患指功能的改善作用
Effect of Ultrasound-Guided Acupotomy Combined with Ginger-Separated Moxibustion on Affected Finger Function in Adults with Stenosing Tenosynovitis of Flexor Tendon
摘要
Abstract
Objective:To investigate the effect of ultrasound-guided acupotomy combined with ginger-separated moxibustion on improving affected finger function in adults with stenosing tenosynovitis of flexor tendon.Methods:A total of 86 adult patients with stenosing tenosynovitis of flexor tendon were randomly assigned into the control group(n=43)and the treatment group(n=43).The control group received local injection therapy into tendon sheath;on which basis,the treatment group also received ultrasound-guided acupotomy combined with ginger-separated moxibustion.Patients were followed up for 3 months after the treatment.The two groups were compared in terms of clinical efficacy at 3 months post-treatment,affected finger function,pain,joint structure,range of motion,negative emotions,and quality of life before the treatment and at 3 months after the treatment,as well as adverse reactions during the follow-up period.Results:The total effective rate was 97.67％(42/43)in the treatment group,which was significantly higher than 81.40％(35/43)in the control group(P＜0.05).After treatment,Quinnell scores and VAS scores decreased in both groups after the treatment,with significantly lower scores observed in the treatment group compared to the control group(P＜0.05).Tendon sheath thickness and tendon thickness were reduced in both groups after the treatment,with the treatment group showing greater reductions(P＜0.05).Joint range of motion increased in both groups,with a greater increase in the treatment group(P＜0.05).The scores of SAS and SDS decreased in both groups after the treatment,with lower scores in the treatment group(P＜0.05).Health-related quality of life(SF-36)scores increased in both groups,with higher scores in the treatment group(P＜0.05).During treatment,the incidence of adverse reactions was 13.95％(6/43)in the treatment group and 9.30％(4/43)in the control group,in which there was no statistical difference between the two groups(P＞0.05).Conclusion:Ultrasound-guided acupotomy combined with ginger-separated moxibustion can improve finger function,relieve pain,regulate joint structure and mobility,reduce negative emotions,and enhance quality of life in adults with stenosing tenosynovitis of flexor tendon.The treatment demonstrates good safety.关键词
屈指肌肌腱狭窄性腱鞘炎/成人/小针刀/隔姜灸/患指功能Key words
Stenosing tenosynovitis of flexor tendon/Adults/Acupotomy/Ginger-separated moxibustion/Function of affected finger分类
医药卫生引用本文复制引用
王锡娟,王美星,高红梅,刘芳..超声引导小针刀联合隔姜灸治疗成人屈指肌肌腱狭窄性腱鞘炎对患指功能的改善作用[J].针灸临床杂志,2026,42(1):35-40,6.基金项目
河北省中医药管理局科研计划,编号:2024536 （）
邯郸市科学技术研究与发展计划,编号:23422083409. （）
