CAJ | 학술논문

目的：观察针药并用治疗痉挛性斜颈的临床效果。方法将30例患者随机分成治疗组和对照组，每组15例。治疗组采用针药并用治疗，对照组采用单纯针灸治疗。结果临床观察1年，两组治疗后6个月、12个月Tsui评分与同组治疗前比较差异均有统计学意义(P＜0.01)，治疗后12个月与6个月比较差异均有统计学意义(P＜0.01)，即两组治疗后Tsui评分逐渐降低；两组治疗后12个月Tsui评分比较差异有统计学意义(P＜0.05)，结果表明治疗组治疗后12个月Tsui评分降低更显著。结论针药并用治疗痉挛性斜颈愈显率高于单纯针刺治疗，斜颈患者针刺治疗的疗程较长，需长期坚持。
목적：관찰침약병용치료경련성사경적림상효과。방법장30례환자수궤분성치료조화대조조，매조15례。치료조채용침약병용치료，대조조채용단순침구치료。결과림상관찰1년，량조치료후6개월、12개월Tsui평분여동조치료전비교차이균유통계학의의(P＜0.01)，치료후12개월여6개월비교차이균유통계학의의(P＜0.01)，즉량조치료후Tsui평분축점강저；량조치료후12개월Tsui평분비교차이유통계학의의(P＜0.05)，결과표명치료조치료후12개월Tsui평분강저경현저。결론침약병용치료경련성사경유현솔고우단순침자치료，사경환자침자치료적료정교장，수장기견지。
Objective To investigate the clinical efficacy of combined use of acupuncture and medicine in treating spasmodic torticollis.Method Thirty patients were randomly allocated to a treatment group of 15 cases and a control group of 15 cases. The treatment group received combined use of acupuncture and medicine, and the control group, acupuncture alone.Result Clinical observation lasted one year. There was a statistically significant pre-/post-treatment difference in the Tsui score in the two groups at 6 and 12 months after treatment (P<0.01). There was a statistically significant difference in the Tsui score between at 6 and 12 months after treatment in the two groups (P<0.01); the Tsui score decreased gradually after treatment. There was a statistically significant post-treatment difference in the Tsui score between the two groups at 12 months after treatment (P<0.05); the Tsui score decreased more in the treatment group.Conclusion The cure and marked efficacy rate of combined use of acupuncture and medicine for spasmodic torticollis is higher than that of acupuncture alone. A longer course is needed for acupuncture treatment of spasmodic torticollis and the patient should persevere with the treatment.