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《Journal of Clinical and Experimental Medicine》 2015-14
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Effects of acupuncture and moxibustion on electrophysiological characteristics of peripheral nerve in patients with carpal tunnel syndrome

DING Qian;SHEN Fang;Rehabilitation Center,Baoding No.2 Central Hospital The Second Hospital of Baoding;Department of Neurology,Gaobeidian City Hospital;  
Objective To investigate the effect of acupuncture and moxibustion on electrophysiological characteristics of peripheral nerve in patients with carpal tunnel syndrome( CTS). Methods Seventy-two CTS patients who visited the hospital from February 2009 to September2014 were studied. According to the patient voluntariness,the patients were divided into acupuncture group,moxibustion group,and needling-moxibustion group. Numerical rating scale( NRS) pain score,global symptom score( GSS),electrophysiological and anatomical related indicators were observed before and after treatment and compared between groups. Results All items observed were significantly improved in each group after treatment in comparison with those before treatment( P 0. 05). NRS,GSS scores were lower in needling-moxibustion group than those in acupuncture and moxibustion group( P 0. 05). The distal motor latency( DML) of median nerve in needing-moxibustion group was below the moxibustion group and acupuncture group; the sensory conduction velocity( SCV) of thumb-wrist and sensory nerve action potential( SNAP) of thumb-wrist and middle finger-wrist in needing-moxibustion group were above the acupuncture and moxibustion group,the differences were statistically significant( all P 0. 05). Cross-sectional area of median nerve at pisiform and radio-ulnar level and flattening ratio in needling-moxibustion group were better than moxibustion group and acupuncture group( P 0. 05). Conclusion Moxibustion and acupuncture can effectively improve peripheral nerve electrophysiological indicators in CTS,but with needling-moxibustion,the improvements are more obvious for median nerve DML,thumb-wrist SCV and SNAP of thumb-wrist and middle finger-wrist.
【CateGory Index】: R246.9
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