Objective:To analyze the effect of needle-knife combine with pulsed radiofrequency therapy under the guidance of ultrasound for the treatment of carpal tunnel syndrome.Methods:From May 2018 to October 2020, 76 patients with carpal tunnel syndrome in Department of Painology, Second People's Hospital of Liaocheng were randomly divided into two groups according to the different treatment methods. The patients was treated by needle-knife in the needle-knife group (NK group, n=40), and by needle-knife combined with ultrasound-guided pulsed radiofrequency therapy in the combined group (NKP group, n=36). Clinical symptom score, VAS and DSL of median nerve and ulnar nerve at the same distance between the wrist were collected before treatment, 2 weeks and 1 month after the treatment in two groups. The therapeutic effects were compared at two months after treatment in the two groups. Results:There was no statistical difference in the general situation between the two groups. After treatment, the effective rate was 85% (34/40 cases) in the NK group, and 100% (36/36 cases) in the NKP group, with statistical significance ( P<0.05). At 1 month, 3 months and 6 months after the treatment, the scores of clinical symptoms were lower than that before the treatment in both groups, and the scores were significantly lower in the NKP group than that in the NK group ( P<0.05). At 1 month, 3 months and 6 months after the treatment, VAS was significantly higher in the NK group than that in the NKP group, with statistical significance ( P<0.05). Mndsl level was significantly higher in the NKP group than that in the NK group at 1, 3 and 6 months after the treatment. At each time point before and after the treatment, Undsl has no significant difference between the two groups and within the groups ( P>0.05). Conclusion:Needle-knife combined with ultrasound-guided pulsed radiofrequency therapy is effective for the treatment of carpal tunnel syndrome, the pain attenuates significantly and the Mndsl index recovers well.

目的:分析富血小板血浆(PRP)肌筋膜内注射治疗带状疱疹后神经痛(PHN)的疗效.方法:选取2019年1月至2021年12月收治的60例老年胸腰段PHN患者,所有患者均接受肌筋膜内注射PRP治疗.记录所有患者的治疗疗效和不良反应发生情况,同时比较治疗前后的疼痛数字评分(NRS)、匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)及抑郁自评量表(SDS)等量表评分,以及血清疼痛介质水平.结果:所有患者的治疗总有效率为93.33％,不良反应总发生率为18.33％.随访3个月,治疗后1个月和3个月,所有患者的NRS和PSQI评分均明显低于治疗前,差异有统计学意义(P＜0.05);治疗后3个月,所有患者的SAS和SDS评分均明显低于治疗前,差异有统计学意义(P＜0.05),血清β-EP、NT水平均明显高于治疗前,差异有统计学意义(P＜0.05),血清CGRP、VGF等水平均明显低于治疗前,差异有统计学意义(P＜0.05).结论:PRP肌筋膜内注射治疗PHN患者疗效显著,能明显减轻疼痛程度,提升睡眠质量,改善患者情绪状态,且治疗安全性高,值得临床推广应用.

目的 研究中频电疗法联合体外冲击波在颈肩腰腿痛患者治疗中的应用效果.方法 选取聊城市第二人民医院2019年5月至2021年5月收治的86例颈肩腰腿痛患者作为研究对象,采用掷硬币法将其分为观察组和对照组,各43例.对照组行常规康复治疗,观察组在对照组基础上加用中频电疗法联合体外冲击波治疗,两组患者均治疗28 d.比较两组患者治疗28 d的临床疗效,比较两组患者治疗前、治疗28 d时的疼痛程度[视觉模拟评分法(VAS)]及患者总满意度.结果 观察组总有效率高于对照组,差异有统计学意义(P<0.05).治疗28 d,两组患者VAS评分低于治疗前,观察组评分低于对照组,差异有统计学意义(P<0.05).治疗后,观察组总满意度高于对照组,差异有统计学意义(P<0.05).结论 中频电疗法联合体外冲击波治疗颈肩腰腿痛患者可提升疗效,进一步减轻患者疼痛,还可提高患者满意度.

目的:分析腰椎间盘突出症微创手术治疗与传统手术治疗的效果.方法:选取2017年2月-2018年5月在我院接受手术治疗的130例腰椎间盘突出症病患.按照患者接受治疗方法的不同分成观察组以及对照组.分别实施微创手术治疗与传统手术,对比2组各项临床指标和腰椎功能的恢复情况.结果:观察组的施术时间、卧床时间和住院时间均短于对照组,且施术出血量和并发症发生率更低;观察组患者术后1周和术后12周时的JOA评分均高于对照组,组间互比差异有统计学差异,P＜0. 05.结论:腰椎间盘突出症病患开展微创手术与传统手术相比更利于减轻创伤,减少并发症,也能提高患者腰椎功能的恢复效率.

目的:探究细银质针导热疗法治疗强直性脊柱炎的临床疗效.方法:选取本院2016年4月至2017年4月间28例强直性脊柱炎患者,采用细银质针导热疗法治疗,观察临床疗效.结果:采用治疗前后脊柱痛评分、晨僵时间、胸廓活动度、枕墙距对比,组内比较差异均有统计学意义(P＜0.001).结论:细银质针导热疗法治疗强直性脊柱炎是安全、有效的.

Objective: To observe clinical effects of knife acupuncture on treating waist-derived abdominal pain. Methods: 26 patients were given knife acupuncture therapy. Results: Knife acupuncture therapy was effective, safe and reliable, with high curing and fewer recurrence rate, and was worthy of promotion.

1 病历摘要 患者高某,男,65岁,主因双肩部疼痛、活动受限10余年于2013年10月12日就诊.患者于10年前无明显诱因出现左肩关节疼痛、活动受限,症状逐渐加重伴发右肩关节疼痛、活动受限,穿脱衣服困难,不伴上肢麻木,无昼夜变化.发病以来一直按肩关节周围炎治疗,曾行口服活血止痛类药物、局部膏药外敷、局部封闭、针灸等治疗,在治疗期间疼痛可有所缓解,停止治疗后双肩关节疼痛如前.

糖尿病不是唯一病因所致的单一疾病,而是复合病因的综合症.那么治疗上单纯靠西药降低屯或控制血糖维持病情显然不足.通过临床观察对2型糖尿病,胰岛素抵抗(机体对一定量的胰岛素的生物学反应低于预计正常水平的一种现象)和胰岛素分泌缺陷,用针刀刺激、松解.中药辨证固本治疗,在治疗早期配合西药降糖药物,逐渐递减药量,最终据病情而停用.取得了较好疗效.

目的:探讨腰椎间盘突出症术后原症状复发的原因和治疗方法.方法:对41例腰椎间盘突出症术后原症状复发的患者采用针刀闭合松解治疗.结果:治愈26例占63.4%,显效8例占19.5%,好转5例占12.2%,无效2例占4.8%.结论:针刀闭合松解术能有效的消除腰椎间盘突出症术后复发症状.

根性腰突症采用针刀作用于椎管内刺激,可直达病所.1996～2002年我院镇痛科在住院患者中筛选根性腰突症随访2年以上的病例,共300例.现介绍如下.