摘要
目的探讨神经-肌腱滑行练习对轻中度腕管综合征患者的症状及手功能的影响。方法选取轻中度腕管综合征患者42例,随机分为干预组和对照组各21例。对照组仅给予健康教育和常规随访,干预组在此基础上进行神经-肌腱滑行练习。分别于干预前及干预后1个月、2个月、3个月使用中文版Boston腕管量表、肌电图仪、SF-36生活质量量表测量,并进行比较分析。结果3个月后,两组Boston腕管量表症状严重程度得分存在显著的干预、时间和交互效应(P<0.05,P<0.01);两组右手功能状况得分存在显著的干预、时间和交互效应(P<0.05,P<0.01);干预组3个月时远端动作电位潜伏期值显著低于对照组(P<0.05)。两组患者的生活质量随干预时间的延长有显著提高(均P<0.01),但两组差异无统计学意义。结论神经-肌腱滑行练习能有效改善轻中度腕管综合征患者症状及手功能。
Objective To explore the effect of nerve and tendon gliding exercises on symptoms and hand functions of patients with mild to moderate carpal tunnel syndrome.Methods A total of 42 patients with mild to moderate carpal tunnel syndrome were randomized in equal numbers into an intervention group,who were asked to perform the additional nerve and tendon gliding exercises,and a control group,who were given routine health education and follow-up services only.The Boston Carpal Tunnel Syndrome Questionnaire （BTCQ）,myoelectrograms,and the 36-Item Short Form Health Survey （SF-36）,were used to measure the baseline data before the intervention,and the effects of intervention at the 1st month,the 2nd month,and the 3rd month.Results Three months later,the severity scores of symptoms of BTCQ had significant group effect,time effect and group by time effect（P＜0.05,P＜0.01） between the 2 groups; the scores of functional status of the right hand also had significant group effect,time effect and group by time effect（P＜0.05,P＜0.01） between the 2 groups; the scores of distal motor latency in the intervention group were significantly lower than in the control group（P＜0.05）.The SF-36 scores showed an upward trend as the intervention proceeded in both groups（P＜0.01 for time effect）,yet no significant differences were found （P＞0.05 for group effect）.Conclusion The nerve and tendon gliding exercises help relieve symptoms and restore hand functions of patients with mild to moderate carpal tunnel syndrome.
关键词
腕管综合征
神经-肌腱滑行练习
症状
手功能
肌电图
生活质量
carpal tunnel syndrome
nerve and tendon gliding exercises
symptoms
hand functions
myoelectrogram
quality of life
