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韩国传统医学诊所蜂毒针灸后严重尺神经损伤:一例报告

Severe Ulnar Nerve Injury After Bee Venom Acupuncture at a Traditional Korean Medicine Clinic: A Case Report.

作者信息

Park Joon Sang, Park Yoon Ghil, Jang Chul Hoon, Cho Yoo Na, Park Jung Hyun

机构信息

Department of Rehabilitation Medicine, Gangnam Severance Hospital, Seoul, Korea.

Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Ann Rehabil Med. 2017 Jun;41(3):483-487. doi: 10.5535/arm.2017.41.3.483. Epub 2017 Jun 29.

DOI:10.5535/arm.2017.41.3.483
PMID:28758087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5532355/
Abstract

This case report describes a severe nerve injury to the right ulnar nerve, caused by bee venom acupuncture. A 52-year-old right-handed man received bee venom acupuncture on the medial side of his right elbow and forearm, at a Traditional Korean Medicine (TKM) clinic. Immediately after acupuncture, the patient experienced pain and swelling on the right elbow. There was further development of weakness of the right little finger, and sensory changes on the ulnar dermatome of the right hand. The patient visited our clinic 7 days after acupuncture. Electrodiagnostic studies 2 weeks after the acupuncture showed ulnar nerve damage. The patient underwent steroid pulse and rehabilitation treatments. However, his condition did not improve completely, even 4 months after acupuncture.

摘要

本病例报告描述了一例由蜂毒针灸引起的右侧尺神经严重损伤。一名52岁右利手男性在一家韩医诊所接受了右侧肘部和前臂内侧的蜂毒针灸。针灸后立即出现右肘部疼痛和肿胀。随后右手小指进一步出现无力,右手尺侧皮肤感觉改变。患者在针灸后7天前来我院就诊。针灸后2周的电诊断研究显示尺神经损伤。患者接受了类固醇冲击和康复治疗。然而,即使在针灸后4个月,他的病情仍未完全改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9766/5532355/9f60fa76c8f4/arm-41-483-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9766/5532355/de9d4a44b68b/arm-41-483-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9766/5532355/aaf910c42157/arm-41-483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9766/5532355/9f60fa76c8f4/arm-41-483-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9766/5532355/de9d4a44b68b/arm-41-483-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9766/5532355/aaf910c42157/arm-41-483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9766/5532355/9f60fa76c8f4/arm-41-483-g003.jpg

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Bee Venom Acupuncture for Shoulder Pain: A Systematic Review and Meta-analysis of Randomized Controlled Trials.蜂毒针刺疗法治疗肩部疼痛:随机对照试验的系统评价与Meta分析
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本文引用的文献

1
An acupuncture research protocol developed from historical writings by mathematical reflections: a rational individualized acupoint selection method for immediate pain relief.基于历史文献的数学思考制定的针灸研究方案:一种用于即刻缓解疼痛的个体化合理选穴方法。
Evid Based Complement Alternat Med. 2013;2013:256754. doi: 10.1155/2013/256754. Epub 2013 Jan 29.
2
The nociceptive and anti-nociceptive effects of bee venom injection and therapy: a double-edged sword.蜂毒注射和疗法的痛觉和抗痛觉效应:一把双刃剑。
Prog Neurobiol. 2010 Oct;92(2):151-83. doi: 10.1016/j.pneurobio.2010.06.006. Epub 2010 Jun 15.
3
An Overview of Bee Venom Acupuncture in the Treatment of Arthritis.
蜂毒针灸治疗关节炎概述
Evid Based Complement Alternat Med. 2005 Mar;2(1):79-84. doi: 10.1093/ecam/neh070.
4
A cumulative review of the range and incidence of significant adverse events associated with acupuncture.对与针灸相关的重大不良事件的范围和发生率的累积性综述。
Acupunct Med. 2004 Sep;22(3):122-33. doi: 10.1136/aim.22.3.122.