CAJ | 학술논문

目的：探讨以针刀闭合松解配合整脊微调治疗颈肩综合征的临床疗效。方法：自2010年4月至2011年8月治疗120例颈肩综合症患者，男45例，女75例；年龄40～68岁；病程3 d～10年。均采用针刀闭合松解，并配合整脊微调手法治疗，予以活血化瘀中药口服，治疗后第3、7、10天行整脊手法扶正治疗，针眼愈合后行中药外熏，并指导颈椎操功能锻炼。采用颈椎功能障碍指数（the neck disability index，NDI）评分标准对患者治疗前后颈椎功能进行评价。结果：治疗3周后进行随访，患者颈肩部疼痛减轻，功能活动受限情况好转，颈椎NDI评分由治疗前的（49．30±1．35）分降至治疗3周后的（10．15±1．18）分（t＝2．116，P＜0．05）。结论：针刀闭合松解配合整脊微调治疗颈肩综合征可使颈肩疼痛症状迅速缓解，颈部活动功能受限情况好转。针刀松解治疗前精确定位，治疗中充分松解，治疗后整脊微调是确保疗效的关键。
목적：탐토이침도폐합송해배합정척미조치료경견종합정적림상료효。방법：자2010년4월지2011년8월치료120례경견종합증환자，남45례，녀75례；년령40～68세；병정3 d～10년。균채용침도폐합송해，병배합정척미조수법치료，여이활혈화어중약구복，치료후제3、7、10천행정척수법부정치료，침안유합후행중약외훈，병지도경추조공능단련。채용경추공능장애지수（the neck disability index，NDI）평분표준대환자치료전후경추공능진행평개。결과：치료3주후진행수방，환자경견부동통감경，공능활동수한정황호전，경추NDI평분유치료전적（49．30±1．35）분강지치료3주후적（10．15±1．18）분（t＝2．116，P＜0．05）。결론：침도폐합송해배합정척미조치료경견종합정가사경견동통증상신속완해，경부활동공능수한정황호전。침도송해치료전정학정위，치료중충분송해，치료후정척미조시학보료효적관건。
Objective:To evaluate therapeutic effect of the needle knife closed solution combined with minor adjusting of spine for treatment of neck shoulder syndrome. Methods:From April 2010 to August 2011,120 patients with neck shoulder syndrome were treated with the needle knife closed solution combined with minor adjusting of spine ,and included 45 males and 75 females and aged from 40 to 68 years old. The disease course was from 3 days to 10 years. After the operation ,all pa-tients taken the medicine of activating blood circulation herbs. At the 3rd,7th,10th day after operation,spinal rotation massage was performed on these patients. After the healing of the needle points ,traditional Chinese medicine herb fumigation was ap-plied on the needle points,and the patients were directed to do the cervical spine exercise. Therapeutic effect of the patients was evaluated by the neck disability index (NDI). Results:All patients were followed up after 3 weeks'treatment. The pain of neck shoulder was relieved,and the range of motion was improved,the NDI score lowered from 49.30±1.35 before treatment to 10.15±1.18 at 3 weeks after treatment (t=2.116,P<0.05). Conclusion:The needle knife closed solution combined with minor adjusting of spine for the treatment of neck shoulder syndrome can relieve the pain in the neck shoulder and improved the mo-tion of the neck. The key for the effect is accurate location before operation ,sufficient adhesion solution during the operation and spinal minor adjusting after operation.