요천추신경총병증으로 진단된 환자 1례에 대한 증례보고

Clinical Study on the Case of Patient with Lumbosacral Plexitis

  • 김정은 (동의대학교 부속한방병원 침구과) ;
  • 윤현민 (동의대학교 부속한방병원 침구과) ;
  • 안창범 (동의대학교 부속한방병원 침구과) ;
  • 장경전 (동의대학교 부속한방병원 침구과) ;
  • 김철홍 (동의대학교 부속한방병원 침구과) ;
  • 장선희 (동의대학교 부속한방병원 침구과) ;
  • 박재흥 (동의대학교 부속한방병원 침구과) ;
  • 구지영 (동의대학교 부속한방병원 침구과) ;
  • 이창환 (동의대학교 부속한방병원 침구과) ;
  • 최한나 (삼세한방병원 침구과)
  • Kim, Jeong-Eun (Dept. of Acupuncture & Moxibustion, Oriental Medicine Hospital, Dong-Eui University) ;
  • Yoon, Hyun-Min (Dept. of Acupuncture & Moxibustion, Oriental Medicine Hospital, Dong-Eui University) ;
  • Ahn, Chang-Beohm (Dept. of Acupuncture & Moxibustion, Oriental Medicine Hospital, Dong-Eui University) ;
  • Jang, Kyung-Jun (Dept. of Acupuncture & Moxibustion, Oriental Medicine Hospital, Dong-Eui University) ;
  • Kim, Cheol-Hong (Dept. of Acupuncture & Moxibustion, Oriental Medicine Hospital, Dong-Eui University) ;
  • Jang, Sun-Hee (Dept. of Acupuncture & Moxibustion, Oriental Medicine Hospital, Dong-Eui University) ;
  • Park, Jae-Heung (Dept. of Acupuncture & Moxibustion, Oriental Medicine Hospital, Dong-Eui University) ;
  • Ku, Ji-Young (Dept. of Acupuncture & Moxibustion, Oriental Medicine Hospital, Dong-Eui University) ;
  • Lee, Chang-Hwan (Dept. of Acupuncture & Moxibustion, Oriental Medicine Hospital, Dong-Eui University) ;
  • Choi, Han-Na (Dept. of Acupuncture & Moxibustion, Samse Oriental Hospital)
  • 발행 : 2009.10.20

초록

Objectives : The purpose of this study was to evaluate Oriental Medicine Therapy on the Lumbosacral plexitis patient. Methods : The patient was treated with dry needle acupuncture, bee venom pharmacupuncture, herb medicine, indirect moxibustion and physical therapy. We estimated S kinds of Symptoms by Visual Analog Scale, lower limb motor grade test, gait condition test and sensory examination to evaluate the effect of Oriental conservative treatment. Results : After treatment, patient's visual analogue scale score were generally decreased 10 to 4 and lower limb muscle power and gait condition were improved. Conclusions : Oriental Medicine Therapy might be an effective method to treat the Lumbosacral plexitis patient who was diagnosed as Wei Symptom. It is necessary to have more observation and many cases of patients with Lumbosacral plexitis.

키워드

참고문헌

  1. Hinchey JA, Preston DC, Logigian EL. Idiopathic-Lumbosacral neuropathy : a cause of persistent leg pain. Muscle Nerve. 1996 ; 19 : 1484-6. https://doi.org/10.1002/(SICI)1097-4598(199611)19:11<1484::AID-MUS14>3.0.CO;2-T
  2. Yee T. Recurrent idiopathic lumbosacral plexopathy. Muscle Nerve. 2000 ; 23 : 1439-42. https://doi.org/10.1002/1097-4598(200009)23:9<1439::AID-MUS18>3.0.CO;2-B
  3. 이광우, 정희원 편저. 임상신경학. 서울 : 고려의학. 1998 : 714-6.
  4. 서울대학교 의과대학. 신경학. 서울 : 서울대학교출판부. 2006 : 565-77.
  5. 김형돈. 신경과 & 신경외과학. 서울 : 군자출판사. 2008 : 252-61.
  6. McDonald CM, Carter GT, Fritz RC, Anderson MW, Abresch RT, Kilmer DD. Magnetic resonance imaging of denervated muscle: comparison to electromyography. Muscle Nerve. 2000 ; 23 : 1431-42. https://doi.org/10.1002/1097-4598(200009)23:9<1431::AID-MUS16>3.0.CO;2-P
  7. Jonas D, Conrad B, Von Einsiedel HG, Bischoff C. Correlation between quantitative EMG and muscle MRI in patients with axonal neuropathy. Muscle Nerve. 2000 ; 23 : 1265-9. https://doi.org/10.1002/1097-4598(200008)23:8<1265::AID-MUS17>3.0.CO;2-F
  8. 김호정 외. 자기공명영상술로 진단된 요신경총병증 환자 1예. 대한임상신경생리학회지. 2006 ; 8(2) : 174-8.
  9. Tiggs WJ et al. Treatment of idiopathic lumbosacral plexopathy with intravenous immunoglobulin. Muscle Nerve. 1997 ; 20 : 244-6. https://doi.org/10.1002/(SICI)1097-4598(199702)20:2<244::AID-MUS20>3.0.CO;2-1
  10. 아담스 신경과학 편찬위원회 편. 신경과학. 서울 : 정담. 1998 ; 1257-60.
  11. 이상암 외. 방사선 요천추 신경총병증 3예. 대한신경과학회지. 1994 ; 12(1) : 152-8.
  12. 강보성 외. 요천골신경총의 신경통근육위축증. 대한 근전도.전기진단의학회지. 2006 ; 8(1) : 62-6.
  13. 이정훈 외. 용력거중과 음주 후 발생한 요천추신경총병증 환자의 증례보고. 한방재활과의학과학회지. 2002 ; 13(1) : 151-60.
  14. 전국한의과대학 심계내과학교실. 심계내과학. 서울 : 군자출판사. 2006 : 353, 355-8.
  15. 전용매 編著. 再編黃帝內經素問. 서울 : 大星文化社. 1998 : 128.
  16. 대한침구학회 교재편찬위원회. 침구학(下). 파주 : 집문당. 2008 : 198-9.
  17. 감철우, 박동일. 五行和針法에 대한 연구 - 臟方 중심으로. 동의생리병리학회지. 2005 ; 19(2) : 363-9.
  18. 심성흠 외 5인. 五行和針法에 대한 연구-腑方 중심으로. 동의생리병리학회지. 2008 ; 22(5) : 1119-24.