黄芪桂枝五物汤联合针灸治疗轻中度腕管综合征的效果冯淑兴吴加利林楚欣黄树勇摘要：目的观察黄芪桂枝五物汤联合针灸治疗轻中度腕管综合征的效果。方法选取2013年7月～2019年10月我院收治的轻中度腕管综合征患者401例作为研究对象，按照随机数字表法分为对照组200例和实验组201例。对照组采用甲钴胺营养神经治疗，实验组采用黄芪桂枝五物汤联合针灸治疗，比较两组治疗疗效、临床症状（NRS评分及GSS评分）及神经电生理指标（正中DML、拇短展肌CMAP、中指-腕感觉起始潜伏时、中指-腕SMAP、中指-腕SCV）改善情况。结果实验组治疗总有效率为91.04%，高于对照组的84.50%，差异有统计学意义（P<0.05）。实验组NRS评分及GSS评分均低于对照组[（2.08±1.37）分vs（3.03±1.11）分]、[（4.37±1.68）分vs（5.51±1.37）分]，差异有统计学意义（P<0.05）。治疗后，实验组正中DML、拇短展肌CMAP、中指-腕感觉起始潜伏时、中指-腕SMAP、中指-腕SCV优于对照组，差异有统计学意义（P关键词：腕管综合征;神经电生理;黄芪桂枝五物汤;针灸：R242文獻标识码：ADOI：10.3969/j.issn.1006-1959.2020.15.051：1006-1959（2020）15-0161-03Abstract：ObjectiveToobservetheeffectofHuangqiGuizhiWuwuDecoctioncombinedwithacupunctureonmildtomoderatecarpaltunnelsyndrome.MethodsAtotalof401patientswithmildtomoderatecarpaltunnelsyndromeadmittedtoourhospitalfromJuly2013toOctober2019wereselectedastheresearchobjects.Accordingtotherandomnumbertable，theyweredividedinto200casesinthecontrolgroupand201casesintheexperimentalgroup.Thecontrolgroupwastreatedwithmethylcobalaminnutrientnervetherapy，andtheexperimentalgroupwastreatedwithHuangqiGuizhiWuwuDecoctioncombinedwithacupunctureandmoxibustion.Thetreatmentefficacy，clinicalsymptoms（NRSscoreandGSSscore）andneuro-electrophysiologicalindicators（medianDML，abductorpollicisbrevisCMAP，middlefinger-wristsensoryinitiationtime，middlefinger-wristSMAP，middlefinger-wristSCV）werecomparedbetweenthetwogroups.ResultsThetotaleffectiverateoftreatmentintheexperimentalgroupwas91.04%，whichwashigherthan84.50%inthecontrolgroup，thedifferencewasstatisticallysignificant（P