CAJ | 학술논문

目的：探讨三针疗法治疗类肩胛上神经卡压症的临床疗效。方法：50例门诊患者采用三针疗法，患者取坐位或俯卧位，第一针于肩胛冈冈下肌中线与肩胛下角线交点处取穴；第二针于肩峰与肩胛下角的连线与冈下肌中线的交点处取穴；第三针于肩胛冈中点向下2cm处取穴，此处进针，采用捻转泻法，得气后连接电针治疗仪，每日一次，每次30min ，共治疗14次，随访1个月。结果：治疗后各症状及体征积分、总积分均较治疗前明显降低（P＜0．01），说明三针疗法治疗类肩胛上神经卡压症疗效显著；50例患者治疗后，临床症状、体征治疗显效率为96％，随访1个月无复发。结论：本病与神经根型颈椎病在发病原因、发病机理、临床表现及病理体征方面均不相同。采用三针疗法治疗类肩胛上神经卡压症取得满意疗效。
목적：탐토삼침요법치료류견갑상신경잡압증적림상료효。방법：50례문진환자채용삼침요법，환자취좌위혹부와위，제일침우견갑강강하기중선여견갑하각선교점처취혈；제이침우견봉여견갑하각적련선여강하기중선적교점처취혈；제삼침우견갑강중점향하2cm처취혈，차처진침，채용념전사법，득기후련접전침치료의，매일일차，매차30min ，공치료14차，수방1개월。결과：치료후각증상급체정적분、총적분균교치료전명현강저（P＜0．01），설명삼침요법치료류견갑상신경잡압증료효현저；50례환자치료후，림상증상、체정치료현효솔위96％，수방1개월무복발。결론：본병여신경근형경추병재발병원인、발병궤리、림상표현급병리체정방면균불상동。채용삼침요법치료류견갑상신경잡압증취득만의료효。
Objective:To explore the curative effect of Three‐needle Therapy in the treatment of analogous to suprascapular nerve entrapment (SNE) .Methods:To apply the Three‐needle therapy among the 50 out‐patients in a sit‐ting or prone position ,to position the acupoint of the first needle in the intersection of subscapular muscle midline with in‐ferior angle of scapula;and the second needle locates the line of acromion with inferior angle of scapula;and the third nee‐dle lies 2 centimeters below the midpoint of spina scapulae .To employ the reducing method of twirling manipulation and connect the acusector therapeutic appratus after getting qi sensation ,meanwhile lasting 30minutes every time with once a day ,in addition ,14 days as a course of treatment ,arranging the follow‐up visit within one month .Results:It indicates that all the syndromes ,integral of the signs and total points significantly decreased compared with the prior treatment (P<0 .01) ,which also illustrates that Three‐needle therapy to treat analogous to suprascapular nerve entrapment has got the significant effects ,50 cases of patients after treatment the effective rate of the clinical syndromes and signs were 96% , besides ,no relapse during the one‐month follow‐ups .Conclusion:It is individually different on the aspect of clinical observation indicators ,pathogenesis ,clinical manifestation and pathological signs with the cervical spondylotic radiculopathy .