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帕金森病的针灸治疗:一例未使用药物而症状改善的病例报告

Acupuncture therapy for Parkinson's disease: a case report demonstrating symptomatic improvement without medication.

作者信息

Lei Suying, Liu Qing, Leong IanI, Fan Jingqi, Tsang YauKeung, Liu Xin, Xu Xiaoyan, Zhuang Lixing

机构信息

The First Clinical School of Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China.

School of Acupuncture and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, China.

出版信息

Front Neurol. 2024 Jan 29;14:1330054. doi: 10.3389/fneur.2023.1330054. eCollection 2023.

DOI:10.3389/fneur.2023.1330054
PMID:38348115
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10859393/
Abstract

BACKGROUND

Parkinson's disease (PD) often necessitates immediate medical intervention following diagnosis. In recent years, there has been a noticeable increase in clinical investigations assessing the efficacy of acupuncture in PD, with many studies reporting positive outcomes. Ethical guidelines commonly endorse pharmaceutical therapies for PD, leading ongoing research to combine acupuncture with standard drug-based treatments. At present, there is a conspicuous absence of dedicated clinical research exclusively examining the independent impact of acupuncture on PD treatment.

CASE

In a clinical observation, we documented a case involving a 75-year-old male displaying progressive, characteristic PD symptoms, including evident limb tremors, rigidity, bradykinesia, fatigue, and additional non-motor symptoms. The patient received a confirmed diagnosis of PD. Due to the refusal of the patient to take medication, we exclusively administered acupuncture therapy. The outcomes indicated a noteworthy enhancement in the clinical symptoms of the patient solely through acupuncture intervention.

CONCLUSION

This case affirms that using acupuncture in isolation significantly improved both the motor and non-motor symptoms in the patient. Acupuncture could potentially serve as an alternative therapy for patients who decline or are intolerant to anti-Parkinson drugs. However, further studies are needed to assess its long-term efficacy. This case report obtained approval from the Ethics Committee of the First Affiliated Hospital of Guangzhou University of Chinese Medicine (Ethics number: K-2023-127).

摘要

背景

帕金森病(PD)在确诊后往往需要立即进行医学干预。近年来,评估针灸对帕金森病疗效的临床研究显著增加,许多研究报告了积极的结果。伦理指南通常支持帕金森病的药物治疗,导致正在进行的研究将针灸与基于药物的标准治疗相结合。目前,明显缺乏专门研究针灸对帕金森病治疗独立影响的临床研究。

病例

在一项临床观察中,我们记录了一例涉及一名75岁男性的病例,该男性表现出进行性的典型帕金森病症状,包括明显的肢体震颤、僵硬、运动迟缓、疲劳以及其他非运动症状。该患者被确诊为帕金森病。由于患者拒绝服药,我们仅给予针灸治疗。结果表明,仅通过针灸干预,患者的临床症状有了显著改善。

结论

该病例证实,单独使用针灸可显著改善患者的运动和非运动症状。针灸可能成为拒绝或不耐受抗帕金森药物患者的替代疗法。然而,需要进一步研究来评估其长期疗效。本病例报告获得广州中医药大学第一附属医院伦理委员会批准(伦理编号:K - 2023 - 127)。

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Efficacy of acupuncture for the treatment of Parkinson's disease-related constipation (PDC): A randomized controlled trial.针刺治疗帕金森病相关性便秘(PDC)的疗效:一项随机对照试验。
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Effectiveness of Acupuncture for Anxiety Among Patients With Parkinson Disease: A Randomized Clinical Trial.
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Neuroprotective approaches to halt Parkinson's disease progression.神经保护方法以阻止帕金森病的进展。
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