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陈汝佳,向进▲.口服及外用非甾体类抗炎药与小针刀治疗狭窄性腱鞘炎的疗效观察[J].中国医药科学,2020,(1):265-268        基金项目:
口服及外用非甾体类抗炎药与小针刀治疗狭窄性腱鞘炎的疗效观察
Observation on curative effects of oral and topical non-steroidal anti-inflammatory drugs and small needle knife in treatment of stenosing tenovaginitis
  
DOI:
中文关键词:  非甾体类抗炎药;小针刀;狭窄性腱鞘炎;疼痛评分
英文关键词:Non-steroidal anti-inflammatory drugs;Small needle knife;Stenosing tenovaginitis;Pain score
作者单位
陈汝佳,向进▲ 广东省肇庆市高要区人民医院康复医学科,广东肇庆 526000 
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中文摘要:
      [摘要] 目的 探析口服及外用非甾体类抗炎药与小针刀治疗狭窄性腱鞘炎的安全性及可行性。 方法 选择我院 2016 年 1 月~ 2018 年 12 月收治的狭窄性腱鞘炎患者 120 例,采用随机数字表法分成观察组(n=60)和对照组(n=60)。对照组行口服及外用非甾体类抗炎药治疗,观察组患者则给予小针刀治疗,对两组患者治疗效果、治疗前后疼痛程度评分及并发症发生率进行比较。 结果 (1)观察组治疗总有效率显著优于对照组(93.34% vs 75.00%)(χ2=7.566,P=0.006);(2)根据视觉模拟评分法(VAS),观察组治疗后疼痛评分显著低于对照组(P < 0.05);(3)观察组并发症发生率(8.34%)显著低于对照组(21.67%)(χ2=4.183,P=0.041)。 结论 小针刀治疗狭窄性腱鞘炎疗效显著,能改善患者疼痛程度,降低并发症发生率,且安全性高,该治疗方法值得进一步在临床上使用。
英文摘要:
      [Abstract] Objective To explore safety and feasibility of oral and topical non-steroidal anti-inflammatory drugs and small needle knife in treatment of stenosing tenovaginitis. Methods 120 patients with stenosing tenovaginitis who were admitted and treated in our hospital from January 2016 to December 2018 were selected. According to the random number table method,they were divided into the observation group(n=60)and the control group(n=60).The control group was treated with oral and topical non-steroidal anti-inflammatory drugs while the observation group was treated with small needle knife.After treatment,curative effects,pain score before and after treatment and complication rate were compared between two groups. Results (1)The total effective rate of the observation group was significantly better than that of the control group(93.34% vs 75.00%),χ2=7.566,P=0.006.(2)According to the visual analog scale(VAS),the pain score of the observation group was significantly lower than that of the control group (P < 0.05).(3)The incidence of complications in the observation group(8.34%)was significantly lower than that in the control group(21.67%),χ2=4.183,P=0.041. Conclusion Small needle knife in treatment of stenosing tenovaginitis has significant curative effects,which can relieve paisn and reduce the incidence of complications.It has high safety,which is worthy of further clinical application.
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