An integrative approach for treating postherpetic neuralgia--a case report.
An integrative approach for treating postherpetic neuralgia--a case report.
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治疗带状疱疹后神经痛的综合方法——病例报告。
DOI：
10.1111/j.1533-2500.2007.00132.x
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Wang,Shu-Ming
中科院分区：
文献类型：
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作者：
Wang,Shu-Ming
本报告描述了一个成功的治疗病人的带状疱疹后神经痛使用传统药理学结合针灸。病例报告：一名13岁女孩在严重的水痘带状疱疹发作后出现带状疱疹后神经痛。尽管在症状开始时进行了1周的静脉注射无环鸟苷疗程，但患者在病变愈合后仍出现持续的左面部疼痛和持续的恶心。全面的疼痛治疗方案，包括星状神经节阻滞，药物治疗，经皮神经电刺激和催眠，但患者没有获得任何增量疼痛缓解。我们咨询了针灸服务，为患者的疼痛管理提供帮助。结合体针和耳针以及相关技术，包括穴位按压和经皮穴位电刺激，被添加到疼痛治疗方案中。经过2个月的10次针灸治疗后，患者的恶心症状消失。通过视觉模拟量表评估，患者左侧面部疼痛在自我给予穴位按压和经皮穴位电刺激治疗4个月后，从最高10分持续下降到0分。然后，患者逐渐停止了所有的药物治疗和辅助针灸治疗。联合治疗5个月后出院。结论：针刺及其相关技术可能是一种有效的辅助治疗带状疱疹后神经痛的方法，值得进一步研究。
This report describes the successful treatment of a patient with postherpetic neuralgia using traditional pharmacology in combination with acupuncture.Case Report:A 13‐year‐old girl developed postherpetic neuralgia following a severe attack of varicella zoster. Despite a 1‐week course of intravenous acyclovir initiated at the onset of symptoms, the patient developed persistent left facial pain and constant nausea after lesions were healed. A comprehensive pain treatment regimen, consisting of a stellate ganglia block, medications, transcutaneous electrical nerve stimulation and hypnosis, was administered, but the patient did not gain any incremental pain relief. The acupuncture service was consulted to provide assistance with this patient's pain management. A combination of body and auricular acupuncture as well as related techniques, including acupressure and transcutaneous acupoint electrical stimulation, was added to the pain treatment regimen.After 10 complementary acupuncture treatments over a 2‐month period, the patient's nausea disappeared. Her left facial pain continued to decline from a maximum of 10 to 0 as assessed by a visual analog scale over a period of 4 months following self‐administered treatments of acupressure and transcutaneous acupoint electrical stimulation. The patient was then gradually weaned off all her medications and the complementary acupuncture treatment. She was discharged from the pediatric pain clinic after 5 months of the combined therapy.Conclusions:Acupuncture and its related techniques may be an effective adjunctive treatment for symptoms associated with postherpetic neuralgia and deserve further study.