使用针刀闭合松解联合整脊微调治疗颈肩综合征的效果分析

目的:探讨使用针刀闭合松解联合整脊微调治疗颈肩综合征的效果。方法:选取近年来我院收治的120例颈肩综合征患者作为研究对象。根据这些患者入院的顺序将其分为对照组和观察组,每组各60例患者。为对照组患者使用针刀闭合松解法进行治疗,为观察组患者使用针刀闭合松解联合整脊微调进行治疗。然后比较两组患者的NDI评分。结果 :经过治疗后,两组患者的NDI评分均得到了明显的降低,且观察组患者降低的幅度明显大于对照组患者,差异显著,具有统计学意义(P<0.05)。结论 :使用针刀闭合松解联合整脊微调治疗颈肩综合征的效果显著。

针刺、整脊微调术治疗颈型眩晕症41例临床疗效观察

颈型眩晕症是酶床常见病、多发病。现代医学称之为椎动脉型颈椎病（CSA），是一种呈持续性发作、有时一过性加重的疾病。其病因病机主要是由于长期用颈过度引起颈肌痉挛造成负重椎体间隙逐步变窄、椎体边缘骨质增生、颈椎失稳或棘突偏歪导致位于侧方的椎动脉受压，产生椎动脉、基底动脉缺血而最终引发的一系列症状的疾病。

Discussing tuina for atlantoaxial subluxation in adults based on the theory of‘tendon-bone balance’

According to Chinese medicine,the atlantoaxial joint is a composite joint composed of tendons and bones,and the stability of the joint depends on the‘tendon-bone balance’involving tendons,ligaments,atlas and axis.Multiple causes of‘tendon off-position,joint subluxation’will lead to joint‘tendon-bone imbalance’,which will evolve into atlantoaxial subluxation(AAS),endangering human health.Chinese therapeutic massage(tuina)is a very effective treatment for AAS in adults,but conventional manipulations are prone to ineffectiveness or accidents due to neglect of the causal relationship of the‘tendon-bone imbalance’and inappropriate manipulations.Compared with conventional manipulations,the rational choice of modified manipulations under the guidance of‘tendon-bone balance’theory is more effective and less risky,and more worthy of clinical promotion.From the‘tendon-bone balance’theory,we considered the shortcomings of conventional manipulations,and introduced several modified manipulations that have their own strengths in‘tendon smoothing’and‘bone setting’,in order to provide new ideas for treatment of AAS in adults.