17:22,8,Apr,2008 | (1799/0/0) | Original

radial nerve palsy treatment


The latest issue of radial nerve palsy because of the head before going to sleep paralysis and automatic wake up what postherpetic neuralgia treatment of Dr. Fang Fachen: Hello, I have multiple neuritis also has been two months. Autonomic type of disorder Does the treatment of neurological surgery to which hospital received more comfortable? Early treatment of nerve injury is how long time I've done the best treatment for the dorsal nerve micro-manage the operation time is short or the stitching is sometimes painful arthritis and senile old neuralgia What is the difference? Numbness, weakness, dizziness, asthma, nervous hands are what disease can cure a problem you always mouthpiece, is a neurological problem? What is still missing camp. Nervous tinnitus can be cured? Where governance. Treatment of nerve deafness? _
More questions>> I want to consult the issue of radial nerve palsy

radial nerve palsy treatment

Genghuai Xia Zhao Lirong (General Hospital of Heilongjiang Heilongjiang Hegang Hegang Mining Group 154 100)
【Key Words】 R245.9 Document code】 【A】 【Article ID 1672-5085 (2010) 11-0036-01
Abstract with Vitamin B1 Vitamin B12 electric acupuncture point injection with 80 cases of radial nerve palsy, set simple EA group as control group, the clinical efficacy were observed. The results observed total effective rate was 100% in the control group, the total effective rate was 87.5%, the statistical analysis P <0.05. The difference between the two groups was significant. Conclusion The effect of the observation group than the control group.
Key words acupuncture point injection of radial nerve palsy
Radial nerve palsy by the C5.6.7. And can be variation in the formation of T1 branch, the largest branch of the brachial plexus is a continuation after the cable, the control of the upper arm extensor, radial nerve in the spiral groove on the humerus Traveling at a more superficial, when encounter all sorts of trauma, compression and other pathogenic factors easily oppressed here Erzhi radial nerve palsy, also known as Saturday. Performance of vertical means and vertical wrist. I use vitamin B1 and vitamin B12 with electric acupuncture point injection to achieve better efficacy of the disease, are reported below.
1 Materials and Methods:
1.1 General Information
This article comes from out-patients were 80 cases, 50 cases were male and 30 females; the youngest 18 years old, maximum 56 years; the shortest duration of 3 days, the longest 42 days; right upper limb of 64 cases, 16 cases of left upper limb ; drunk or asleep after the fatigue caused by prolonged pressure in 15 cases, 7 cases of unknown cause. EMG showed neurogenic damage. 80 patients were randomly divided into two groups 40 patients in the control group of 40 patients.
1.2 Treatment
1
.2.1 Observer Group acupoints: arm Er, hand Wuli, Qu pool, three hand, the tributary, foreign relations, Yang Kai, Yang Chi, Hegu, eight evil. Drug: vitamin B1100mg/2ml, vitamin B12500ug/ml; point injection: Zhu Huanzhe side, take 5ml disposable syringes, then 5 long needle to extract vitamin B12ml vitamin B121ml mixed selection of 4-5 points each time, conventional disinfection penetrate, lift and thrust was gas, then a slow return to the blood pumping without pushing drugs, per hole 0.5ml, a needle with sterile dry cotton ball after pressing the pinhole, to avoid bleeding and liquid spills, every other day, 10 times for one course; acupuncture needle was gas, G-6805 election two docked electro acupuncture machine, select the density wave, charge 6V, frequency 6-8HZ, the current strength of the patient can tolerate for the degree. Treatment once a day, 10 days for a course of treatment.
1.2.2 acupuncture acupoints control group, as above, the three treatment groups were statistical efficacy of continuous treatment.
Journal articles classified information, all in library journals
1.3 Clinical Efficacy of the standard cure: the fingers and wrist dorsiflexion dorsiflexion freedom of movement, the back half of the radial side of forearm extensors and upper limb numbness disappeared; improvement: slight dorsiflexion of the fingers and wrist dorsiflexion is limited, the back half of the radial side of the forearm extensors and upper limb numbness disappeared; invalid: no improvement in symptoms before and after treatment.
2 Results
Statistical analysis comparing two groups, P <0.05, significant difference, indicating that the observation group than the control group.
3 typical cases
Wang, 42 years old, workers, the night of 28 March 2009 together with the students, more than half a catty drink wine, drink and sleep head on the right upper side, early morning activities, not working your fingers when eating consciously, with chopsticks food problems, wrist down, suffering from cerebral thrombosis mistaken, and hurried to the hospital. Examination: right upper limb nerve sulcus and the radial forearm and back of the back half of the radial side of the skin, numbness, fingers activities ineffective, limited dorsiflexion fingers, wrists drooping, head CT scan were normal. EMG: right extensor digitorum communis muscle, the right brachioradialis muscle contraction visible portion of the heavy motor unit potential. Nerve showed: right radial nerve: radial nerve sulcus / forearm segment, motor nerve conduction velocity slowed down, the value of 38.6m / s (normal 50m / s and above), proximal amplitude was decreased (0.1m / v) and wave more discrete. Hint: the right radial nerve showed mild neuronal damage. Use of vitamin B12ml vitamin B121ml, to take arms Er, Qu pool, hand-Wuli, hand three years, Yang River, tributary, foreign relations, take them 4-5 points for injection, per hole 0.5ml, every other day, while Select the points for acupuncture. The first course of treatment, perceived ease numbness, drooping wrist symptoms, fingers partially dorsiflexion. The second course of numbness disappeared, back of the hand stretched and flexible, drooping wrist symptoms, upper back to normal.
4 Discussion
Radial nerve palsy was due to traction, compression, trauma and other factors caused the local blood circulation, nervous malnutrition cause neurological demyelination and axonal nerve degeneration. Electrical performance of the physical and motor nerve conduction velocity and decreased amplitude. Of vitamin B1, vitamin B12 injection, both promote neuronal excitability and conduction, and can promote blood circulation and neurohumoral regulation. Although the injection point injection is administered, but research has confirmed that acupuncture point injection of intravenous drugs and the same effect and significantly faster than the injected muscle, the gradual absorption of drugs in the points in the process of generating the relative persistence of the stimulation points, so of vitamin B1, vitamin B12 do point injection, acupuncture and drugs to achieve the dual role. The arm Er, Qu pool, hand-Wuli, hand three years, Yang River, tributary, foreign relations, Hegu, evil and other points are located in eight radial nerve distribution area, is the main point for treating upper limb paralysis, acupuncture points both above to clear the meridians, improves blood circulation and can promote excitatory nerve conduction and restore normal metabolism of nerve tissue, and thus both methods with the use, efficacy play a role in the superposition. Observations from Table 1 shows that of vitamin B1, vitamin B12 electric acupuncture point injection with radial nerve paralysis significantly better than the EA group. This method is effective is worth promoting.
References
[1] Tang Xiao-fu. Clinical EMG study. Beijing Medical University and Peking Union Medical University Joint Press, 1995.2.10.
Add to content summary of issues related to reward points to be addressed: Question 5, 2010 -05-21 10:33:07 novice Add as Friend Does the treatment of radial nerve palsy that time period? Gender: Male Age :19-29
Wrist droop. Palm, fingers. This problem can not be straight professional back complaints doctors or practitioners of professional portrait back to answer a complaint against the answer, 2010 -05-21 10:37:02
Mostly nerve contusion, and less for the rupture, the general conservative treatment first, in March mostly surgical exploration after failed nerve contu
sion, and less for the rupture, the general conservative treatment first, in March after failed surgical exploration from the Granville County Hospital
This back to you useful? 00 If you are satisfied with this reply, please adopt, do not fail to answer the work! Complaint answer reply this time :2010-05-22 01:10:52
Three months for their own recovery, one and a half for the treatment period. Best of the treatment period of six months, effective treatment for one year, the treatment of one and a half, this time over the affected nerve mostly secondary to ischemic necrosis. Recovery hopeless. Three months for their own recovery, one and a half for the treatment period. Best of the treatment period of six months, effective treatment for one year, the treatment of one and a half, this time over the affected nerve mostly secondary to ischemic necrosis. Recovery hopeless.
This back to you useful? 00 If you are satisfied with this reply, please adopt, do not fail to answer the work!
Add a comment
  • Nickname [Register]
  • Password Optional
  • Site URI
  • Email
Enable HTML Enable UBB Enable Emots Hidden Remember