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<?xml version="1.0" encoding="UTF-8" standalone="no"?><merged xmlns:dita-ot="http://dita-ot.sourceforge.net/ns/201007/dita-ot" id="GUID-205debd9-89fe-4f24-8017-a30290b6bc27-en" xml:lang="zh" xtrf="file:/mnt/crx/author/crx-quickstart/profiles/ditamaps/ditamap12078463826739858047/hecs-ccms/zh_cn/HIL/conditions/s-u/trigger-finger/trigger-finger.ditamap"> <displayTitle>扳机指</displayTitle> <featureTitle>扳机指：休息或可缓解握物时的疼痛</featureTitle> <listTitle/> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Overview" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2022-12-03T06:00:00.000-06:00" workId="did:mcid:97t2crnx9XaUZpNDYtqhij:2026-10-09" xml:lang="zh"> <title>overview trigger finger</title> <titlealts> <titleSimple keyref="titleSimple-overview">概述</titleSimple> </titlealts> <conbody> <p product="mayoclinic.org"> <xref href="https://www.mayoclinic.org/about-this-site/meet-our-medical-editors" keyref="attrib-mayo-clinic-staff-link" scope="external">来自妙佑医疗国际员工</xref> </p> <conbodydiv platform="richtext"> <section> <p>扳机指会使手指卡在弯曲位无法伸直，也可能会突然伸直并伴有弹响。这种状况最常出现于无名指和拇指，但也可能发生在任何手指上。该状况也称作狭窄性腱鞘炎。</p> <p>控制手指活动的肌腱无法在包裹它的腱鞘内顺畅滑动，便会发生扳机指。腱鞘局部肿胀，或是肌腱本身形成小结节，均会造成该情况。</p> <p>这种状况最常见于 50 岁以上的女性。如果您患有糖尿病、甲状腺功能低下或类风湿关节炎，您患扳机指的风险可能更高。</p> <p>扳机指的治疗可能包括用夹板固定、类固醇注射或手术治疗。</p> <fig> <title>扳机指</title> <desc> <p>扳机指是控制手指的肌腱不能在包裹其周围的腱鞘中顺畅滑动的状况。如果部分腱鞘肿胀或形成小隆起，可能会发生这种情况。这种隆起称为结节。</p> </desc> <image href="https://assets.mayoclinic.org/content/dam/hecs-ccms/global/images/hil-ccgs/DS00155-IM01852-mcdc7-trigger-fingerthu-en.jpg" placement="inline"> <alt>扳机指</alt> </image> </fig> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Symptoms" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2022-12-03T06:00:00.000-06:00" workId="did:mcid:BFKsb2D8mRxs6d87sHfSDC:2026-10-09" xml:lang="zh"> <title>symptoms trigger finger</title> <titlealts> <titleSimple keyref="titleSimple-symptoms">症状</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>扳机指的症状可能从轻度发展到重度，包括：</p> <ul> <li>手指僵硬，在早晨更明显。</li> <li>活动手指时有砰啪声或咔哒声。</li> <li>手掌中患指根部有压痛或肿块。</li> <li>手指卡在或锁在弯曲位置，突然砰地一声伸直。</li> <li>手指锁在弯曲位置。</li> </ul> <p>扳机指可能影响任何手指，包括拇指。可能同时累及多根手指，并且可能累及双手。扳机状现象通常在晨间更严重。</p> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Causes" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2022-12-03T06:00:00.000-06:00" workId="did:mcid:Nz2LmkwyRPSDr3z141kpJd:2026-10-09" xml:lang="zh"> <title>causes trigger finger</title> <titlealts> <titleSimple keyref="titleSimple-causes">病因</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>肌腱是将肌肉附着在骨骼上的坚韧纤维索。每个肌腱周围都围绕着保护鞘。如果受累手指的腱鞘出现刺激和肿胀，便会出现扳机指。这使得肌腱更难滑过保护鞘。</p> <p>对于大多数人，开始出现刺激和肿胀原因不明。</p> <p>持续反复的刺激可能导致肌腱上形成一个小的组织肿块。这种肿块称为结节。结节会使肌腱更难顺畅滑行。</p> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/RiskFactors" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2022-12-03T06:00:00.000-06:00" workId="did:mcid:v2hs6nBTAtWrdvokDFD2X:2026-10-09" xml:lang="zh"> <title>risk factors trigger finger</title> <titlealts> <titleSimple keyref="titleSimple-risk-factors">风险因素</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>患扳机指的风险因素包括：</p> <ul> <li> <b>反复抓握。</b> 需反复用手和长时间抓握的工作与业余爱好可能增加患扳机指的风险。</li> <li> <b>某些健康问题。</b> 有糖尿病或类风湿关节炎的人患扳机指的风险更高。</li> <li> <b>性别。</b> 扳机指在女性中更为常见。</li> </ul> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Complications" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2022-12-03T06:00:00.000-06:00" workId="did:mcid:TKbBSwubAh2x3eZ1igNpzu:2026-10-09" xml:lang="zh"> <title>complications trigger finger</title> <titlealts> <titleSimple keyref="titleSimple-complications">并发症</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>扳机指会增加打字、扣衬衫纽扣或将钥匙插入锁孔的难度。还可能影响抓握方向盘或拿握工具的能力。</p> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Diagnosis" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2022-12-03T06:00:00.000-06:00" workId="did:mcid:2zf38gzKi7wvswCxHZSRBR:2026-10-09" xml:lang="zh"> <title>diagnosis trigger finger</title> <titlealts> <titleSimple keyref="titleSimple-diagnosis">诊断</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>诊断扳机指时，医务人员会进行体格检查，可能会要求您张开和握紧手掌，检查疼痛位置、活动流畅度以及有无卡锁表现。</p> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Treatment" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2022-12-03T06:00:00.000-06:00" workId="did:mcid:DmHkN5ikm3tcfjXfzmzgqo:2026-10-09" xml:lang="zh"> <title>treatment trigger finger</title> <titlealts> <titleSimple keyref="titleSimple-treatment">治疗</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>扳机指的治疗方案取决于症状严重程度以及病程时长。</p> </section> <section> <title>药物</title> <p>考虑服用非甾体抗炎药（NSAID），例如布洛芬（Advil、Motrin IB 等）或萘普生钠（Aleve）。这类药物有助于缓解疼痛和炎症。某些此类药物可以通过药膏或贴剂经患处皮肤递送。</p> </section> <section> <title>疗法</title> <p>保守治疗可能包括：</p> <ul> <li> <b>休息。</b> 在您症状改善前避免需要反复抓紧、重复抓握或长久使用震动手持机械的活动。如果您无法完全避免这些活动，软垫手套可能起一些保护作用。</li> <li> <b>夹板。</b> 戴夹板有助于让肌腱得到休息。</li> <li> <b>伸展运动。</b> 温和的伸展运动有助于维持手指活动度。</li> </ul> </section> <section> <title>外科手术或其他医疗程序</title> <p>如果症状严重，或是保守治疗无效，医务人员可能会建议：</p> <ul> <li> <b>类固醇注射。</b> 在腱鞘附近或腱鞘内注射类固醇药物可减轻肿胀，使肌腱恢复顺畅滑动。注射一次的效果通常可维持一年以上。有些人需要注射一次以上。</li> <li> <b>穿刺医疗程序。</b> 在对您的手掌进行麻醉后，医护团队的一名成员会将一根硬针插入受累肌腱周围的组织中。移动针和手指有助于分离阻碍肌腱平稳运动的组织。在超声引导下进行操作，可提升治疗效果。</li> <li> <b>外科手术。</b> 外科医生在患病手指根部做小切口，切开腱鞘狭窄段，让肌腱能够自由滑动。</li> </ul> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/AppointmentPreparation" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2022-12-03T06:00:00.000-06:00" workId="did:mcid:56ksecmUoxz1TZ2TUiksGV:2026-10-09" xml:lang="zh"> <title>preparing for your appointment trigger finger</title> <titlealts> <titleSimple keyref="titleSimple-prep-for-appt">就诊准备</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>您可能需要先去初级保健医务人员处就诊，找出引发症状的原因。</p> </section> <section> <title>您能做些什么</title> <p>务必带上您日常服用的全部药物和营养补充剂清单。您还可能需要提前写下一些问题。示例包括：</p> <ul> <li>我的症状是什么原因引起的？</li> <li>这种状况是暂时出现，还是长期持续？</li> <li>有哪些治疗方法？</li> <li>与该状况有关的并发症及其治疗方法有哪些？</li> </ul> </section> <section> <title>医生一般会做什么</title> <p>医务人员可能会询问一些问题。提前准备好作答，可以留出更多时间探讨其他重要信息。</p> <p>医务人员可能询问以下问题：</p> <ul> <li>您有哪些症状？</li> <li>这些症状持续多长时间了？</li> <li>您的症状是时有时无还是一直存在？</li> <li>有没有什么情况似乎会改善您的症状？</li> <li>有没有什么情况似乎会加重您的症状？</li> <li>您的症状是否在早上或一天中的任何特定时间加重？</li> <li>您的工作或兴趣爱好是否需要做重复性动作？</li> <li>您的手部最近是否受过伤？</li> </ul> </section> </conbodydiv> </conbody> </hecsConcept> <hecsReference contentType="http://ontology.mayo.edu/ContentCategories/References" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2022-12-03T06:00:00.000-06:00" workId="did:mcid:Wsz3rJhJygPdwGKmvLT37i:2026-10-09" xml:lang="zh"> <title>references trigger finger</title> <titlealts> <titleSimple keyref="titleSimple-references">参考文献</titleSimple> </titlealts> <prolog> <footnotes> <fn>Frontera WR, et al., eds. Trigger finger. In: Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 4th ed. Elsevier; 2019. https://www.clinicalkey.com. Accessed Sept. 8, 2025.</fn> <fn>Ferri FF. Trigger finger. In: Ferri's Clinical Advisor 2026. Elsevier; 2026. https://www.clinicalkey.com. Accessed Sept. 8, 2025.</fn> <fn>Blazar PE, et al. Trigger finger (stenosing flexor tenosynovitis). https://www.uptodate.com/contents/search. Accessed Sept. 8, 2025.</fn> <fn>AskMayoExpert. Trigger digits (finger, thumb). Mayo Clinic; 2024.</fn> <fn>Trigger finger. OrthoInfo. https://orthoinfo.aaos.org/en/diseases--conditions/trigger-finger. Accessed Sept. 8, 2025.</fn> <fn>Gil JA, et al. Current concepts in the management of trigger finger in adults. Journal of the American Academy of Orthopaedic Surgeons. 2020; doi:10.5435/JAAOS-D-19-00614.</fn> <fn>Harris K. Allscripts EPSi. Mayo Clinic. April 29, 2025.</fn> </footnotes> </prolog> </hecsReference> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Research" policy="" reviewedOn="" workId="did:mcid:LsWYKhj9DfWDb65N7yMZKP:2026-10-09" xml:lang="zh"> <title>research trigger finger</title> <titlealts> <titleSimple keyref="titleSimple-research">研究</titleSimple> </titlealts> <conbody> <section> <title> <keyword keyref="sectionTitle-publications">著述</keyword> </title> <p>请参阅美国国家医学图书馆检索服务系统 PubMed 所收录的妙佑医疗国际医生在扳机指领域的<xref href="https://pubmed.ncbi.nlm.nih.gov/?term=(((%22Trigger%20Finger%20Disorder%22%5BMesh%5D%20OR%20%22trigger%20finger%22%5BAll%20Fields%5D)))%20AND%20(55901%5BAD%5D%20OR%2055905%5BAD%5D%20OR%2032224%5BAD%5D%20OR%2085054%5BAD%5D%20OR%2085259%5BAD%5D%20OR%20Mayo%20Clinic%5BAD%5D%20OR%20Mayo%20Foundation%5BAD%5D%20OR%20Mayo%20College%5BAD%5D%20OR%20Mayo%20Medical%5BAD%5D%20OR%20Mayo%20School%5BAD%5D%20OR%20Mayo%20Graduate%5BAD%5D%20OR%20Mayo%20Health%5BAD%5D)" keyref="pubMed-trigger-finger" scope="external">文献目录</xref>。</p> </section> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/CareMayoClinic" policy="" reviewedOn="" workId="did:mcid:GABzSUBQHkxEHSzHkLayAg:2026-10-09" xml:lang="zh"> <title>care at mayo trigger finger</title> <titlealts> <titleCustom>妙佑医疗国际的扳机指治疗</titleCustom> <titleSimple/> </titlealts> <conbody> <p>手外科、物理医学和康复以及其他领域的妙佑医疗国际专家组成的团队通力合作，确保您获得准确的诊断和适合您病情的治疗。</p> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/ExpertiseRanking" policy="" reviewedOn="" workId="did:mcid:65kvT2ewCFY8jwvt4XjANa:2026-10-09" xml:lang="zh"> <title>expertise rankings trigger finger</title> <titlealts> <titleSimple keyref="titleSimple-expertise-and-rankings">专业技能和排名</titleSimple> </titlealts> <conbody> <p>每年有超过 3300 人在妙佑医疗国际接受扳机指治疗。如果您需要做手术，则技术熟练的手外科医生可为您提供帮助。</p> </conbody> </hecsConcept> <metadata> <hasPoCID>CON-20337902</hasPoCID> <primaryIdentifier>did:mcid:399SzfnqHjZbzw3619DtQx:1.17</primaryIdentifier> <workId>did:mcid:Sgb6wVg6Cd7KV6c3jFGBVa:2026-10-09</workId> <language>zh_cn</language> <publicationStatus>Done</publicationStatus> <issuedOn>2000-08-15T00:00:00.000-05:00</issuedOn> <reissuedOn>2026-10-07T00:00:00.000-05:00</reissuedOn> <mapPath>/content/dam/hecs-ccms/zh_cn/HIL/conditions/s-u/trigger-finger/trigger-finger.ditamap</mapPath> <manifestationID>did:mcid:K3BX7MTjzWj3tTUrJqdT6B:2026-10-13-0346</manifestationID> <seoDescription>这种状况是指手指弯曲时不易再次伸直，但可能会突然伸直并产生弹响，在 50 岁以上的女性中最为常见。</seoDescription> <seoUrlKeyword>trigger-finger</seoUrlKeyword> <policy>did:mcid:7AmKpSty59qW9PRkXPDxNB;did:mcid:PDkv3FCzsA4FPiHVvT1zRc</policy> <reviewedOn>2025-10-25T00:00:00.000-05:00</reviewedOn> <contentType>http://ontology.mayo.edu/ContentCategories/GeneralAudienceConditionGuide</contentType> <seoTitle/> <hideAppointmentButton>false</hideAppointmentButton> <hideThirdPartyAds>false</hideThirdPartyAds> <index>true</index> </metadata> </merged>