Volume 21 Issue 12
Dec.  2023
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GAO Xing, MENG Yufeng, WANG Wei, LI Shiying, ZHANG Tongtong. Study on the therapeutic effect of minimally invasive release under microscope combined with postoperative oral administration of Jiangu capsules on cubital tunnel syndrome[J]. Chinese Journal of General Practice, 2023, 21(12): 2057-2059. doi: 10.16766/j.cnki.issn.1674-4152.003289
Citation: GAO Xing, MENG Yufeng, WANG Wei, LI Shiying, ZHANG Tongtong. Study on the therapeutic effect of minimally invasive release under microscope combined with postoperative oral administration of Jiangu capsules on cubital tunnel syndrome[J]. Chinese Journal of General Practice, 2023, 21(12): 2057-2059. doi: 10.16766/j.cnki.issn.1674-4152.003289

Study on the therapeutic effect of minimally invasive release under microscope combined with postoperative oral administration of Jiangu capsules on cubital tunnel syndrome

doi: 10.16766/j.cnki.issn.1674-4152.003289
Funds:

 2021299

  • Received Date: 2023-07-31
  •   Objective  To investigate the application effect of oral Jiangu capsules in minimally invasive release of elbow tunnel syndrome patients under microscope, It aims to provide reference for research on the treatment of the disease.  Methods  A total of 94 patients with cubital tunnel syndrome from January 2022 to April 2023 were selected as study subjects, and randomly divided into two groups of 47 patients each. Both groups underwent anterior ulnar nerve surgery, while the control group underwent minimally invasive release surgery under a microscope. The observation group received postoperative oral treatment with Jiangu capsules. Both groups completed 4 weeks of treatment, and efficacy, ulnar nerve conduction velocity, latency, amplitude, interleukin-1 (IL-1), nerve growth factor (NGF), motor function, sensory function and visual analogue scale (VAS) scores were compared between the two groups.  Results  The efficacy rate of the observation group after 4 weeks of intervention was 95.74% (45/47), which was higher than that of the control group [82.98% (39/47), χ2=4.029, P=0.045]; after 4 weeks of intervention, ulnar nerve conduction velocity, amplitude and NGF levels were higher in the observation group than in the control group (all P < 0.05). The incubation period and IL-1 levels were lower than in the control group (all P < 0.05). After 4 weeks of intervention, motor and sensory functions were improved in both groups, and pain was relieved. The grip strength of the index finger [(3.73±0.56) kg vs. (2.85±0.45) kg] and middle finger [(5.78±0.94) kg vs. (4.64±0.87) kg] in the observation group was higher than in the control group (both P < 0.05). DASH [(26.95±4.19) points vs. (36.39±5.51) points] and VAS [(1.03±0.43) points vs. (3.26±0.52) points] scores were lower than in the control group (both P < 0.05).  Conclusion  Minimally invasive microscopic release combined with postoperative oral administration of Jiangu Capsule can improve the efficacy rate of patients with cubital tunnel syndrome, help improve ulnar nerve conduction velocity, IL-1 and NGF levels, improve motor and sensory functions, and alleviate pain in patients. It is worth promoting and using.

     

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