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对侧针刺治疗肿瘤性下肢截肢患者幻肢痛和幻肢感觉:一例报告

Contralateral Acupuncture for the Treatment of Phantom Limb Pain and Phantom Limb Sensation in Oncologic Lower Limb Amputee: A Case Report.

作者信息

Guo Qin, Di Zhong, Tian Hong-Fang, Zhang Quan-Ai

机构信息

Department of Acupuncture and Moxibustion, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.

出版信息

Front Neurosci. 2021 Oct 22;15:713548. doi: 10.3389/fnins.2021.713548. eCollection 2021.

Abstract

Phantom limb pain (PLP) and phantom limb sensation (PLS) are common and distressing sequelae of amputation. Current pain management following amputation is challenging and unsatisfying. In this case study, a 74-year-old woman underwent above-knee amputation because of the rhabdomyosarcoma in the right leg. Despite several analgesics, pain was poorly controlled. The phantom limb pain and sensation were immediately reduced by the contralateral acupuncture, and abolished after the third session with no side-effects, no relapse during the next 9 months. Contralateral acupuncture showed positive effect on PLP and PLS in this case, but more robust evidence would be needed to support the efficacy of this treatment technique for indication.

摘要

幻肢痛(PLP)和幻肢感觉(PLS)是截肢后常见且令人痛苦的后遗症。目前截肢后的疼痛管理具有挑战性且不尽人意。在本病例研究中,一名74岁女性因右腿部横纹肌肉瘤接受了膝上截肢手术。尽管使用了多种镇痛药,但疼痛控制不佳。通过对侧针灸,幻肢痛和幻肢感觉立即减轻,并在第三次治疗后消失,无副作用,在接下来的9个月内未复发。在该病例中,对侧针灸对PLP和PLS显示出积极效果,但需要更有力的证据来支持这种治疗技术的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc33/8568952/13cb0949a689/fnins-15-713548-g0001.jpg

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