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患者报告:自我施行电针对 Oddi 括约肌功能障碍患者的症状缓解作用

Self-administered electroacupuncture provides symptomatic relief in a patient with sphincter of Oddi dysfunction: a patient's report.

机构信息

Bristol, UK.

出版信息

Acupunct Med. 2013 Dec;31(4):430-4. doi: 10.1136/acupmed-2013-010437. Epub 2013 Sep 5.

Abstract

A 46-year-old woman with differentially diagnosed sphincter of Oddi dysfunction (SOD) type III is described. After two and a half years of managing the condition with a conventional medical/pharmacological approach, the patient's symptoms worsened and she sought complementary approaches, starting traditional acupuncture treatment before receiving training from a practitioner of Western medical acupuncture to self-administer electroacupuncture. The frequency and intensity of severe night-time pain attacks reduced and, additionally, self-administered manual acupuncture during pain attacks resulted in quick, lasting, complete symptomatic pain resolution. This is the first published case report using electroacupuncture in the clinical management of this condition. It shows patient-administered electroacupuncture as a low-risk well-tolerated procedure which provided effective pain relief and reduced the frequency and severity of pain attacks. Self-administered acupuncture could be considered as a potential complementary medical approach for patients with SOD type III before resorting to endoscopic SO manometry and sphincterotomy which carry significant associated risks of pancreatitis.

摘要

一位 46 岁的女性,患有不同诊断的 Oddi 括约肌功能障碍 (SOD) 型 III。在经过两年半的常规医学/药物治疗后,患者的症状恶化,她开始寻求补充治疗方法,首先接受传统针灸治疗,然后接受西方医学针灸师的培训,以自我进行电针治疗。夜间剧烈疼痛发作的频率和强度降低,此外,在疼痛发作时进行自我管理的手动针灸可迅速、持久、完全缓解症状性疼痛。这是首例使用电针治疗该疾病的临床管理的病例报告。它表明,患者管理的电针治疗是一种低风险、耐受良好的程序,可提供有效的疼痛缓解,并减少疼痛发作的频率和严重程度。在进行内镜 Oddi 括约肌测压和括约肌切开术之前,自我管理的针灸可被视为 SOD 型 III 患者的一种潜在补充医学方法,这些手术有发生胰腺炎的重大相关风险。

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