Abdelfatah Mohamed M, Beacham Michelle C, Freedman Michael, Tillmann Hans L
Greenville Veterans Administration Health Care Center, Greenville, NC.
Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, East Carolina University, Greenville, NC.
Med Acupunct. 2018 Oct 1;30(5):279-281. doi: 10.1089/acu.2018.1289. Epub 2018 Oct 15.
Currently, patients undergoing colonoscopy receive sedation, but pain management with acupuncture could be a safer alternative. This article describes 3 cases for which Battlefield Acupuncture was applied during colonoscopy to avoid using opioids for sedation. One case was a patient with a life-threating morphine allergy, and 2 other cases avoided sedation completely. Pain was reduced in all 3 cases to allow completion of colonoscopies without sedation. In Case 2, the patient also gained relief of preexisting mild joint pain. More data are needed, so potentially more patients can indeed avoid morphine/benzodiazepam-based sedation by use of acupuncture to make colonoscopies safer and more pleasant.
目前,接受结肠镜检查的患者会接受镇静治疗,但针灸镇痛可能是一种更安全的选择。本文介绍了3例在结肠镜检查期间应用战地针刺法以避免使用阿片类药物进行镇静的病例。其中1例患者对吗啡过敏,有生命危险,另外2例则完全避免了镇静。所有3例患者的疼痛均减轻,从而能够在不使用镇静剂的情况下完成结肠镜检查。在病例2中,患者先前存在的轻度关节疼痛也得到了缓解。还需要更多数据,以便更多患者确实能够通过使用针灸避免基于吗啡/苯二氮䓬的镇静,从而使结肠镜检查更安全、更舒适。