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目的 :观察甲钴胺治疗肘管综合征的效果。方法 :64例肘管综合征病人分为甲钴胺组和维生素B1组 ,2组病人均进行常规尺神经松解及皮下前置。甲钴胺组 :男性 2 2例 ,女性 9例 ,年龄 4 7a±s 11a ,病程 10mo± 7mo ,术后肌内注射甲钴胺 50 0 μg·次 - 1,qd ,1mo后改用甲钴胺 50 0 μg·次 - 1,po ,tid× 5mo ;维生素B1组 :男性 2 2例 ,女性 11例 ,年龄4 6a± 13a ,病程 11mo± 7mo ,术后给于维生素B150mg·次 - 1,po ,tid× 6mo。术后 6mo随访 ,常规进行肌电图检测和临床检查。结果 :2组相比 ,甲钴胺组明显改善术后症状 ,疗效优于维生素B1组 (P<0 .0 5)。结论 :甲钴胺对肘管综合征具有一定的术后促进恢复作用
Objective: To observe the effect of mecobalamin in the treatment of cubital tunnel syndrome. Methods: Sixty-four patients with cubital tunnel syndrome were divided into mecobalamin group and vitamin B1 group. Both groups were subjected to conventional ulnar nerve release and subcutaneous anterior approach. Mecobalamin group: 22 males and 9 females, age 4 7a ± s 11a, duration of 10mo ± 7mo, postoperative intramuscular injection of mecobalamin 50 0 g · times - 1, qd, 1mo later use of cobalt Amine 50 0 μg • times - 1, po, tid × 5mo; vitamin B1 group: male 2 2 cases, female 11 cases, age 4 6a ± 13a, duration of 11mo ± 7mo, postoperative vitamin B150mg · times - 1, po, tid × 6mo. 6mo follow-up after surgery, routine electromyography and clinical examination. Results: Compared with the two groups, the mecobalamin group significantly improved the postoperative symptoms and the effect was better than that of the vitamin B1 group (P <0.05). Conclusion: Mecobalamin has some postoperative recovery effects on elbow syndrome