三针疗法治疗类肩胛上神经卡压症50例  

Three-needle therapy in the treatment of analogous to suprascapular nerve entrapment

作　　者：齐磊 张凡凡[2] 程宏毅 王雷 王建武 李文高 肖豪 党建军 

机构地区：[1]陕西省中医医院骨伤一科,西安710003 [2]陕西中医学院针灸推拿系,2012级研究生咸阳712046

出　　处：《陕西中医》2015年第5期603-604,609,共3页Shaanxi Journal of Traditional Chinese Medicine

摘　　要：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。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＆lt;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 .

关 键 词：@类肩胛上神经卡压症 @三针疗法 

分 类 号：R746[医药卫生—神经病学与精神病学]