|
目的: 比較腕隧道症候群的患者接受傳統針灸治療和雷射針灸治療後的症狀變化及療效差異。
方法：受試者隨機分成三組(1) 雷射針灸組: 在患側內關穴、大陵穴執行下列治療模式: 能量400 毫瓦，連續波幅，810 奈米波長，每個穴位治療1分鐘(2) 安慰劑組: 採用相同治療模式但無能量輸出(3) 傳統針灸組: 捻針得氣後留針30 分鐘) 一周2 次，共4 周療程。在相同穴位給予治療。全般性症狀分數評估與神經電生理檢查用於結果測量。
結果：針灸組全般性症狀分數評估總分、疼痛、麻木、感覺異常、無力、夜醒在第2 周和第4 週較基準期顯著降低。雷射針灸組全般性症狀分數評估總分、麻木、感覺異常和無力在第 2 周和第 4 週較基準期顯著降低。安慰劑組全般性症狀分數評估在第2 周和第4 週較基準期顯著降低。
針灸組與雷射針灸組相比在第4 週的夜醒有明顯降低。針灸組與安慰劑組相比所有測量得分均顯著降低。與安慰劑組相比，雷射針灸組除疼痛和夜醒外的所有測量值均顯著降低。
神經電生理檢查較基準期的變化在組內和組間均不顯著。
結論：兩種治療組的療效皆優安慰劑組。夜醒次數是傳統針灸優於雷射針灸，其它方面雷射針灸與傳統針灸無顯著差異。
|
|
Lin Li-Feng1Tsai I-Ju2Yang Chun-Pai3Lee Yu-Chen4
1Department of Chinese Medicine, Kuang Tien General Hospital, Taichung, Taiwan
2Department of Medical Research, Kuang Tien General Hospital, Taichung, Taiwan
3Department of Neurology, Kuang Tien General Hospital, Taichung, Taiwan
4Department of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan
|
|
Objectives: The aim of this trial was to compare the changes in symptoms of inpatients treated with conventional acupuncture and laser acupuncture and to compare the efficacy of the two treatments
Methods: Participants were randomly divided into three groups: (1) Laser acupuncture group: performed at PC6 and PC7 on the affected side with the following protocol: 400 mW, continuous wavelength, 810 nm, 1 minute per point (2) Placebo group: with the same protocol but without energy output. (3) Traditional acupuncture group: retention of needle for 30 minutes after de-qi sensation. Twice a week for 4 weeks. Global Symptom Score and Nerve Conduction Study were used to measure symptom changes.
Results: Among all participants in the acupuncture group, total scores, pain, numbness, paresthesia, weakness, and nocturnal awakening all decreased from baseline at weeks 2 and 4. Among all participants in the laser acupuncture group, total scores, pain, numbness, paresthesia, and weakness decreased from baseline at weeks 2 and 4. Among all participants in the placebo group, total scores decreased from baseline at weeks 2 and 4. Compared with the laser group, scores on nocturnal awakening were lower at weeks 4 in acupuncture group. Scores on all measures were lower in the conventional acupuncture group compared with the placebo group. Compared with the placebo group, scores on all measures except pain and nocturnal awakening were lower in the laser group. The change from baseline in NCS was not significant within or between groups.
Conclusion: Both treatment groups demonstrated better efficacy than the placebo group. Except for nocturnal awakening, which showed superior efficacy in the conventional acupuncture group than in the laser acupuncture group, there were no significant differences between the laser acupuncture group and the conventional acupuncture group.
【Keywords】laser acupuncture, manual acupuncture, carpal tunnel syndrome
|
262.2 傳統針灸與雷射針灸對腕隧道症候群療效比較：一個隨機臨床試驗
