题名

針灸併用治長年帶狀疱疹後侵及其他神經系統醫案報告

并列篇名

Acupuncture and moxibustion treatment for long term Zoster with other nervous system involvement: A Case Report

作者

楊鯉源(Yang Li-Yuan)；卓雨青(Cho Yu-Ching)；葉家豪(Yeh Chia-Hao)

关键词

帶狀疱疹後侵及其他神經系統 ； 高齡 ； 麻木 ； 針刺 ； 灸療 ； Zoster with other nervous system involvement ； elderly ； numbness ； acupuncture ； moxibustion

期刊名称

中西整合醫學雜誌

卷期/出版年月

20卷1期（2018 / 06 / 30）

页次

31 - 39

内容语文

繁體中文
中文摘要

帶狀疱疹（Herpes zoster）發病可能與免疫老化（immunosenescence）有關，高齡及免疫力下降是帶狀疱疹最常見的危險因素。帶狀疱疹後常併發神經病變如帶狀疱疹後神經痛（post-herpetic neuralgia，PHN），除了疼痛外，還有麻痺、感覺遲鈍和痛覺異常等症狀，發生率隨著年齡增加而上升，帶狀疱疹後神經痛在成人盛行率約18%，年齡50歲以上病患盛行率是50歲以下病患的27倍，且50-79歲每增加10歲風險會增加為原來的1.7倍。本案例為以麻木、感覺異常為症狀表現的帶狀疱疹後侵及其他神經系統造成神經病變長達十年的高齡病患，以針刺刺激周邊神經分佈的穴位佐以灸療順利改善麻木症狀。
英文摘要

The incidence of herpes zoster may be related to immunosenescence, elderly and immunocompromised is the most common risk factors for herpes zoster. Herpes zoster often complicated by neuropathy such as post-herpetic neuralgia, in addition to pain, there are symptoms such as numbness, dysesthesia and abnormal pain. Post-herpetic neuralgia occurred in 18% of adult patients and the incidence increased with age. Compared with patients ＜50 years, individuals aged＞50 years had a 27-fold higher prevalence, and the incidence increases by 1.7 times each 10-year increase in age 50-79. This case is based on numbness and sensory abnormalities as a symptom of Zoster with other nervous system involvement caused by ten years of elderly patients. We used acupuncture and moxibustion to stimulate the peripheral nerve to improve numbness symptoms.
主题分类 醫藥衛生 > 醫藥總論
醫藥衛生 > 中醫藥學
参考文献
  1. 張益銓,許致善,徐堅銘(2016)。針刺治療三叉神經痛之病例報告。中華針灸醫學會雜誌，19-29。
    連結：
  2. 羅珮嘉,陳彥光(2017)。水痘－帶狀疱疹的中西醫論治。北台灣中醫醫學雜誌，9(1)，35-45。
    連結：
  3. Alexandra, Dimitrova(2017).Introducing a Standardized Acupuncture Protocol for Peripheral Neuropathy:A Case Series.Med Acupunct,29(6),352-365.
  4. Bouhassira, D,Chassany, O,Gaillat, J,Hanslik, T,Launay, O,Mann, C,Rabaud, C,Rogeaux, O,Strady, C(2012).Patient perspective on herpes zoster and its complications: an observational prospective study in patients aged over 50 years in general practice.Pain,153(2),342-349.
  5. Choo, PW,Galil, K,Donahue, JG,Walker, AM,Spiegelman, D,Platt, R(1997).Risk factors for postherpetic neuralgia.Arch Intern Med.,157(11),1217-1224.
  6. Christelis, Nick(2017).Neuropathic Pain, and Painful Peripheral Neuropathy.International Neuromodulation Society,August,1-6.
  7. Forbes, Harriet J.,Bhaskaran, Krishnan,Thomas, Sara L.,Smeeth, Liam,Clayton, Tim,Mansfield, Kathryn,Minassian, Caroline,Langan, Sinéad M.(2016).Quantification of risk factors for postherpetic neuralgia in herpes zoster patients.American Academy of Neurology,87(1),94-102.
  8. Hansen, John T.(2016).Netter’s 解剖學手冊.台灣:台灣愛思唯爾.
  9. Harpaz, R,Ortega-Sanchez, IR,Seward, JF(2008).Prevention of herpes zoster: recommendations of the Advisory Committee on Immunization Practices (ACIP).MMWR Recomm Rep,57,1-30.
  10. Johnson, RW,Rice, AS(2014).Clinical practice. Postherpetic neuralgia.N Engl J Med.,371(16),1526-1533.
  11. Kang, Dong Hee,Kim, Su Young,Kim, Hyuck Goo,Park, Jung Hyun,Kim, Tae Kyun,Kim, Kyung Hoon(2017).Earlier treatment improves the chances of complete relief from postherpetic neuralgia.Korean J Pain,30(3),214-219.
  12. Kenneth, Schmader(2016).Herpes Zoster.Clin Geriatr Med.,32(3),539-53.
  13. Oster, G,Harding, G,Dukes, E,Edelsberg, J,Cleary, PD(2005).Pain, medication use, and health-related quality of life in older persons with postherpetic neuralgia: results from a population-based survey.J Pain,6(6),356-363.
  14. Yawn, BP,Saddier, P,Wollan, PC,St, Sauver, JL,Kurland, MJ,Sy, LS(2008).A population-based study of the incidence and complication rates of herpes zoster before zoster vaccine introduction.Mayo Clin Proc.,83(2),255.
  15. 朱士宗（編）(2008).中醫外科講義.台中:中國醫藥大學.
  16. 朱明芳,匡琳,歐陽恒,楊志波,王暢(2006)。針灸圍刺治療帶狀疱疹後遺神經痛 126 例臨床觀察。湖南中醫藥大學學報，52-53。
  17. 吳承宗,許中嚴,許中華,蔡文興(2013)。毛刺合併針灸治療帶狀疱疹後神經痛－病例報告。Taipei City Medical Journal，75-83。
  18. 李燕鳴(2009)。帶狀疱疹的診治與預防。台灣老年醫學暨老年學雜誌，05，91-101。
  19. 林昭庚（編）(2009).針灸學.台北:知音出版社.
  20. 陳燕芬,谷世喆(2009)。艾灸用於治療熱證之探討。吉林中醫藥，6，469-471。
  21. 馮立峰(2015)。梅花針叩刺配合拔罐治療帶狀疱疹後遺神經痛臨床觀察。光明中醫，6 月，1114-1115。
  22. 盧盈辰,林佩姿,戴慶玲(2014)。帶狀疱疹及疱疹後神經痛之治療。臺灣臨床藥學雜誌，22(1)，43-50。
print cancel