干针疗法期间的反射性缺氧性惊厥（RAS）
Reflex anoxic seizures (RAS) during dry needling.
作者信息
Yargic M P, Kurklu G B
机构信息
Sports Medicine Department, Meram Faculty of Medicine, MD. Necmettin Erbakan University, Konya, Turkey.
出版信息
Hippokratia. 2019 Jan-Mar;23(1):45-46.
BACKGROUND
Trigger pain points are commonly found on the trunk, especially in the neck and shoulders. Dry needling is an effective treatment option in musculoskeletal pain caused by trigger pain points.
CASE DESCRIPTION
A 28-year-old female patient who had persistent upper back pain underwent dry needling on both rhomboid and trapezius muscles for the first time. During the insertion of the sixth needle, the patient presented a tonic-clonic seizure lasting 20-30 seconds. After the seizure, her neurological examination without any findings, while her magnetic resonance imaging scan of the brain, electroencephalogram (EEG) of wakefulness, and sleep-deprived EEG showed no abnormal findings. Her condition was diagnosed as reflex anoxic seizure, which is a benign, self-limiting condition that is typically provoked and does not require medical treatment.
CONCLUSION
Although it is an infrequent adverse event, healthcare professionals should be aware of reflex anoxic seizure, which could be triggered by dry needling, and therefore always perform this procedure with adequate first aid facilities available on site. HIPPOKRATIA 2019, 23(1): 45-46.
背景
触发痛点常见于躯干，尤其是颈部和肩部。干针疗法是治疗由触发痛点引起的肌肉骨骼疼痛的有效选择。
病例描述
一名28岁女性患者，患有持续性上背部疼痛，首次对菱形肌和斜方肌进行干针治疗。在插入第六根针时，患者出现了持续20 - 30秒的强直阵挛性发作。发作后，她的神经系统检查未发现任何异常，而她的脑部磁共振成像扫描、清醒脑电图和剥夺睡眠脑电图均未显示异常。她的病情被诊断为反射性缺氧性发作，这是一种良性、自限性疾病，通常由刺激引发，无需药物治疗。
结论
尽管这是一种罕见的不良事件，但医护人员应了解干针疗法可能引发的反射性缺氧性发作，因此在进行该操作时应始终确保现场有足够的急救设备。《希波克拉底》2019年，23(1): 45 - 46。
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