电针缓解幻肢痛的研究。

Holly King, Max Forrester
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引用次数: 3

摘要

幻肢痛在临床上被定义为肢体不再存在的疼痛或不适的感觉。大多数截肢者都会经历幻肢痛,这与低健康相关的生活质量有关。幻肢痛是寻找有效治疗方法的一个重要挑战。最佳实践的科学证据薄弱,其特点是各种临床报告描述了药物和介入技术的实际使用。最近恢复感觉运动输入的方法显示出了希望。其中一种技术就是电针。我们在此报告一个案例研究,一名30多岁的男性,因被车撞而严重受伤,包括高位经股截肢。采用电针治疗方案。在3个月的治疗过程中,电针减轻了患者的幻肢疼痛,减少了药物的使用,改善了患者的睡眠和生活质量。电针治疗效果持续3-4个月,补足治疗成功,患者疼痛持续缓解。该结果与一项比较按摩和电针治疗脊髓损伤神经性疼痛患者的研究一致;少数患者接受电针治疗后,疼痛明显减轻数月。本病例报告提示电针可能对幻肢痛患者有用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Electroacupuncture For Alleviation Of Phantom Limb Pain.

Phantom limb pain is clinically defined as the perception of pain or discomfort in a limb that no longer exists. Most amputees will experience phantom limb pain, which is associated with a low health-related quality of life. Phantom limb pain represents an important challenge in finding an effective therapy. The scientific evidence for best practice is weak, and is characterized by various clinical reports describing the pragmatic use of drugs and interventional techniques. Recent approaches to restore the sensory motor input have shown promise. One such technique is electroacupuncture. We report here a case study of a male in his 30s who sustained severe injuries, including a high transfemoral amputation, as a result of being hit by a car. An electroacupuncture treatment protocol was used. Over the course of 3 months, electroacupuncture alleviated the patient's phantom limb pain, minimized his use of drugs, and improved his sleep and quality of life. The effect of electroacupuncture treatment lasted for 3-4 months, and successful top-up treatment maintained his pain relief. The results are in line with a study comparing massage and electroacupuncture in patients with spinal cord injury with neurogenic pain; a limited number of patients treated with electroacupuncture were significantly alleviated of their pain for months. This case report suggests that electroacupuncture may be useful in patients with phantom limb pain.

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