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有效针灸治疗老年患者长达十年的枕神经痛

Effective Acupuncture in Treating Decade-Long Occipital Neuralgia in an Elderly Patient.

作者信息

Xu Hong, Yin Ting

机构信息

Department of Acupuncture and Moxibustion, Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Foshan, Guangdong, China.

出版信息

Am J Case Rep. 2024 Dec 5;25:e945546. doi: 10.12659/AJCR.945546.

DOI:10.12659/AJCR.945546
PMID:39632481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11627293/
Abstract

BACKGROUND Occipital neuralgia is a headache caused by irritation or damage to the occipital nerves situated at the rear of the head and neck. It is characterized by sharp, stinging, or electric shock-like pain in the distribution area of the occipital nerve, which often causes patients acute pain and discomfort. To report on the feasibility of non-drug therapy in addressing this condition, we present a case report showcasing the remarkable improvement in occipital neuralgia symptoms achieved with a single acupuncture session, followed by a brief period of care. CASE REPORT The patient was a 76-year-old man who had persistent head pain for over a decade. This pain significantly disrupted his daily activities and diminished his quality of life. Seeking to avoid pharmacological treatments, with their associated adverse effects, and invasive surgical procedures, the patient opted for acupuncture treatments. Over a period of 12 days, the patient underwent 6 acupuncture sessions, each carefully planned and performed by a skilled acupuncturist, ensuring utmost safety and precision. Astonishingly, following the very first session, the patient reported significant alleviation from his head pain. CONCLUSIONS Although the initial approach to managing occipital neuralgia often primarily revolves around conservative drug treatment, acupuncture has emerged as a highly effective modality in alleviating pain symptoms associated with this condition. The favorable outcome of this case report provides convincing evidence that acupuncture can serve as a highly advantageous treatment approach for occipital neuralgia. This case report acts as an encouraging starting point, facilitating the investigation of non-invasive and non-pharmacological pain management strategies.

摘要

背景

枕神经痛是一种因位于头后部和颈部的枕神经受到刺激或损伤而引起的头痛。其特征是在枕神经分布区域出现尖锐、刺痛或电击样疼痛,常给患者带来剧痛和不适。为了报告非药物疗法治疗这种疾病的可行性,我们呈现一份病例报告,展示了单次针灸治疗及随后短时间护理后枕神经痛症状的显著改善。

病例报告

患者为一名76岁男性,持续头痛超过十年。这种疼痛严重干扰了他的日常活动,降低了他的生活质量。为避免药物治疗的相关不良反应以及侵入性外科手术,患者选择了针灸治疗。在12天的时间里,患者接受了6次针灸治疗,每次治疗均由技术娴熟的针灸师精心规划和操作,确保了最大程度的安全和精准度。令人惊讶的是,在第一次治疗后,患者就报告头痛明显减轻。

结论

尽管治疗枕神经痛的初始方法通常主要围绕保守药物治疗,但针灸已成为缓解与该疾病相关疼痛症状的一种高效方式。这份病例报告的良好结果提供了令人信服的证据,表明针灸可作为治疗枕神经痛的一种极具优势的治疗方法。这份病例报告是一个鼓舞人心的起点,有助于对非侵入性和非药物性疼痛管理策略进行研究。

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Front Immunol. 2023 Apr 6;14:1147718. doi: 10.3389/fimmu.2023.1147718. eCollection 2023.
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Greater occipital nerve blockade for the preventive treatment of chronic migraine: A randomized double-blind placebo-controlled study.枕大神经阻滞预防慢性偏头痛的随机双盲安慰剂对照研究。
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Effects of acupuncture in the treatment of occipital neuralgia: A systematic review and meta-analysis.针灸治疗枕神经痛的疗效:系统评价和荟萃分析。
Medicine (Baltimore). 2022 Dec 2;101(48):e31891. doi: 10.1097/MD.0000000000031891.
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Cells. 2022 Mar 2;11(5):860. doi: 10.3390/cells11050860.
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