Observation on the effect of activating Qi and promoting blood circulation with round-sharp needles stimulating meridian points combined with small needle-knife in treatment of de Quervain's tenosynovitis

LIU Guangyu; XU Xilin

doi:10.3969/j.issn.1674-3806.2026.02.10

Abstract：Objective To observe the effect of activating Qi and promoting blood circulation with round-sharp needles stimulating meridian points combined with small needle-knife in treatment of de Quervain's tenosynovitis(DQT).Methods A total of 106 patients with DQT who were admitted to the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine from February 2022 to February 2024 were recruited.These patients were randomly divided into the observation group(receiving the treatment of activating Qi and promoting blood circulation with round-sharp needles stimulating meridian points combined with small needle-knife)and the control group(receiving small needle-knife treatment)by using random number table method,with 53 patients in each group.The treatment course was 1 month for both groups.The traditional Chinese medicine(TCM)syndrome scores and the levels of wrist joint function indicators were compared between the two groups before and after the treatment.The occurrence of adverse reactions and the recurrence of DQT within 6 months after the treatment were compared between the two groups.Results After the treatment,the TCM syndrome scores in both groups were significantly lower than those before the treatment(P＜0.05),and the TCM syndrome scores in the observation group were lower than those in the control group after the treatment,with statistically significant differences(P＜0.05).After the treatment,the Cooney scores in both groups were significantly increased compared with those before the treatment(P＜0.05),and the ranges of motions of flexion and extension,ulnar deviation and radial deviation of the wrist joint were significantly great compared with those before the treatment(P＜0.05).After the treatment,the Cooney scores in the observation group were higher than those in the control group,and the ranges of motions of flexion and extension,ulnar deviation and radial deviation of the wrist joint in the observation group were greater than those in the control group,and the differences were statistically significant(P＜0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(5.66％vs 1.89％;x2=0.260,P=0.610).There was no statistically significant difference in the recurrence rate between the two groups(3.77％vs 0.00％;P=0.495).Conclusion Activating Qi and promoting blood circulation with round-sharp needles stimulating meridian points combined with small needle-knife is safe and effective in treatment of de DQT.The combination treatment can significantly improve the wrist joint function of the patients.