5%牛精糖注射与超声波导向神经水解法在手掌道综合征的短期有效性:一项随机对照研究
Enes Turkyolu1, Derya Bugdayci2, Necat Akgun3
1Department of Physical Therapy and Rehabilitation, Edirne Keşan State Hospital, Edirne, Türkiye.
Journal of back and musculoskeletal rehabilitation
|February 5, 2026
概括
超声导向水解与5%的乳糖 (D5W) 注射改善了手腕道综合征 (CTS) 治疗结果,当与手腕整形结合. 这种干预可以增强轻度至中度CTS患者的日常功能,如抓取.
科学领域:
- 神经学 神经学
- 肌肉骨系统疾病 肌肉骨系统疾病
- 干预程序 干预程序
背景情况:
- 带道综合征 (CTS) 是最普遍的陷神经病变.
- 对于CTS的超声导向神经水解剖的有效性仍在争论中.
- 这项研究研究了D5W水解与手腕整形的辅助作用.
研究的目的:
- 评估超声波引导的5%乳糖 (D5W) 注射与轻度至中度CTS的手腕整形结合的短期有效性.
- 为了确定D5W水解剖对标准手腕整形治疗的额外好处.
- 评估疼痛的改善,功能状态和神经形态.
主要方法:
- 一项前性随机对照试验,涉及44名轻度至中度CTS患者.
- 参与者被随机分配到单独接受手腕整形 (对照) 或手腕整形加D5W水解剖 (研究).
- 结果指标包括视觉模拟尺度 (VAS),波士顿手腕道问卷 (BCTQ),握力 (GST) 和中枢神经横截面积 (CSA).
主要成果:
- 两组在VAS,BCTQS和BCTQF得分 (对照组) 和所有参数 (研究组) 中均显著改善.
- 在VAS,BCTQS,CSA或GST方面没有发现显著的群体间差异.
- 与对照组相比,在研究组中观察到BCTQF得分的统计学上显著改善.
结论:
- 使用D5W注射进行超声波引导的水解切除可增强CTS手腕整形治疗.
- 这种综合方法改善了功能结果,特别是在日常活动中,如抓取.
- 对于CTS患者来说,D5W水解剖是推的选择,仅用手腕骨架无法获得足够的缓解.
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