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针灸缓解急性腹膜炎:一例报告。

Acupuncture alleviates acute peritonitis: A case report.

作者信息

Chen Yun, Chen Xiaoyan, Qian Hong, Li Biyi, Su Xuan

机构信息

Guangdong Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine, Foshan, PR China.

The Fifth Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, PR China.

出版信息

Heliyon. 2023 Apr 6;9(4):e15290. doi: 10.1016/j.heliyon.2023.e15290. eCollection 2023 Apr.

Abstract

Many inflammatory and infectious entities can affect the peritoneum acutely, and patients with peritonitis often have painful expressions. Abdominal pain can be aggravated by coughing, breathing, and turning the body. Here we report the case of an 88-year-old patient with acute gastrointestinal perforation. The patient has been experiencing pain in the right lower abdomen, presenting persistent colic. The X-ray of abdomen and abdominal computed tomography showed perforation of digestive tract. In addition to the use of anti-infection and stomach protection agents, we use different analgesic injections, but the effect on reducing the pain was not obvious. After acupuncture treatment, the patient quickly relieved the pain of acute peritonitis in 1 minute. However, to our knowledge, there is few literature showing that acupuncture relieves preoperative opioid-induced hyperalgesia in patients with acute peritonitis. Based on this case, we suggest acupuncture as an option in the management of relieving the pain of acute peritonitis when opioid therapy is ineffective.

摘要

许多炎症和感染性疾病可急性累及腹膜,腹膜炎患者常有痛苦表情。咳嗽、呼吸及翻身可加重腹痛。在此,我们报告一例88岁急性胃肠穿孔患者的病例。该患者右下腹部疼痛,呈持续性绞痛。腹部X线及腹部计算机断层扫描显示消化道穿孔。除使用抗感染及胃保护剂外,我们使用了不同的镇痛注射剂,但减轻疼痛的效果不明显。针刺治疗后,患者在1分钟内迅速缓解了急性腹膜炎的疼痛。然而,据我们所知,很少有文献表明针刺可缓解急性腹膜炎患者术前阿片类药物引起的痛觉过敏。基于此病例,我们建议在阿片类药物治疗无效时,针刺可作为缓解急性腹膜炎疼痛的一种选择。

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