针刀闭合松解配合整脊微调治疗颈肩综合征  

Needle knife closed solution combined with minor adjusting of spine for the treatment of neck-shoulder syndrome

作　　者：周勇忠 张友忠 杨贵尊 袁志强 史良 

机构地区：[1]上海中冶医院,上海200941

出　　处：《中国骨伤》2013年第8期702-704,共3页China Journal of Orthopaedics and Traumatology

摘　　要：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3d～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(theneckdisabilityindex,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。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 applied 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,P0.05）. 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.

关 键 词：肌筋膜疼痛综合征 颈 肩 针刺疗法 针刀 舒筋整复手法 

分 类 号：R681.550.5[医药卫生—骨科学]