Hiệu quả điều trị của hào châm trên người bệnh hội chứng ống cổ tay, thử nghiệm lâm sàng trước – sau

Abstract

Objectives: To evaluate the therapeutic effectiveness of manual acupuncture (MA) in patients with mild to moderate carpal tunnel syndrome (CTS), as well as to assess the safety of MA in the treatment of CTS.

Subject and methods: A before-and-after interventional study was conducted on a group of 38 CTS patients with mild to moderate symptoms. MA was performed 5 times per week for 4 weeks, acupoints including PC4, PC6, PC7, PC8, LI4, LI10, LI1, HT3, HT7, and LU10. The Symptom Severity Scale (SSS) and Functional Status Scale (FSS) from the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) were measured, and adverse events were monitored to evaluate the effectiveness and safety of MA.

Results: By the second and fourth weeks, the SSS score significantly decreased from 27 (26-34) to 21 (21-27) and 13 (13-21), respectively (p<0.001). Similarly, the FSS score significantly decreased from 13 (13-15) to 9 (9-14) and 8 (8-10) (p<0.001). After the 4-week intervention, 2.63% of patients achieved complete symptom recovery, and 60.53% achieved full functional recovery (p<0.0001). During the study, there were 2 cases of bruising and 4 cases of bleeding after needle removal, accounting for approximately 5% and 10%, respectively.

Conclusion: MA demonstrates initial evidence of being a safe and effective treatment for CTS, with improvements in symptoms and functional recovery, showing significant effectiveness after 4 weeks of treatment.