题名

針灸與中藥輔助治療胃輕癱病例報告

并列篇名

Treatment of Gastroparesis with Acupuncture and Traditional Chinese Medicine: A Case Report

作者

蘇紋華(Wen-Hua Su);洪玉如(Yu-Ru Hong);李家甄(Jia-Jhen Li);李聰界(Tsong-Jieh Li)

关键词

胃輕癱 ; 嘔吐 ; 進食 ; 中藥 ; 針灸 ; Gastroparesis ; Vomit ; Intake ; Traditional Chinese medicine ; Acupuncture

期刊名称

醫學與健康期刊

卷期/出版年月

10卷3期(2021 / 11 / 01)

页次

95 - 100

内容语文

繁體中文

中文摘要

本病例為一名51歲男性患者,病史有第二型糖尿病已12年,因頭暈、疲倦、吐血、解黑便至診所就診後轉診至本院,經內視鏡檢查有十二指腸第三段水平部基質瘤(pT2N0M0, stage IIIB),手術切除後停止進食,第7天嘗試由口進食後有嘔吐症狀,上腸胃道攝影檢查十二指腸部分阻塞與臨床症狀觀察,診斷有胃輕癱,術後第19天會診中醫治療,在經針灸與少量中藥治療後顯著改善嘔吐與進食狀況。這位胃輕癱個案中醫輔助針灸與中藥治療後恢復良好,希望能提供給類似病患中西醫結合治療醫療參考。

英文摘要

A 51 year-old man with a history of type 2 diabetes for 12 years was referred to our hospital due to dizziness, fatigue, hematemesis, and tarry stool. He was diagnosed as having duodenum 3rd portion gastrointestinal stromal tumor (pT2N0M0, stage IIIB) and excised it. He tried to eat on the 7th day after the operation but had vomit. We arrange upper gastrointestinal series showing duodenal partial stenosis, was found to have gastroparesis. After the acupuncture and a small amount Chinese medicine treatment on the 19th day, his vomit and food intake were significantly improved. This case shows that acupuncture and traditional Chinese medicine can treat gastroparesis, and hopes to provide a medical reference for similar patients.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 洪皓脩, HH,賴香君, HC,林宏任, HJ(2020)。上腸繫膜動脈症候群手術後腹脹便秘之中醫內科治療病例報告。臺灣中醫醫學雜誌,18,19-30。
    連結:
  2. 馮瀞儀, CI,周書慧, SH,林時逸, SY(2017)。糖尿病性胃癱中西醫整合治療病例報告。中醫藥雜誌,28,39-50。
    連結:
  3. Arnold, G,Beaves, M(2013).Update on clinical guidelines for the management of gastroparesis.Am J Gastroenterol,108,1538-1539.
  4. Camilleri, M,Parkman, HP,Shafi, MA,Abell, TL,Gerson, L(2013).Clinical guideline: management of gastroparesis.Am J Gastroenterol,108,18-37.
  5. Kim, KH,Lee, MS,Choi, TY,Kim, TH(2018).Acupuncture for symptomatic gastroparesis.Cochrane Database Syst Rev,12,Cd009676.
  6. Li, G,Huang, C,Zhang, X(2015).The short-term effects of acupuncture on patients with diabetic gastroparesis: a randomised crossover study.Acupunct Med,33,204-209.
  7. Liu, N,Abell, T(2017).Gastroparesis Updates on Pathogenesis and Management.Gut Liver,11,579-589.
  8. Loganathan, P,Gajendran, M,McCallum, RW(2019).Clinical Manifestation and Natural History of Gastroparesis.Gastrointest Endosc Clin N Am,29,27-38.
  9. Murthy, TA,Rangappa, P,Anil, BJ,Jacob, I,Rao, K(2016).Postoperative nutrition practices in abdominal surgery patients in a tertiary referral hospital Intensive Care Unit: A prospective analysis.Indian J Crit Care Med,20,319-322.
  10. Myint, AS,Rieders, B,Tashkandi, M(2018).Current and Emerging Therapeutic Options for Gastroparesis.Gastroenterol Hepatol,14,639-645.
  11. Xuefen, W,Ping, L,Li, L,Xiaoli, C,Yue, Z(2020).A Clinical Randomized Controlled Trial of Acupuncture Treatment of Gastroparesis Using Different Acupoints.Pain Res Manag,2020,8751958.
  12. Yan, X,Zhou, FX,Lan, T(2017).Optimal postoperative nutrition support for patients with gastrointestinal malignancy: A systematic review and meta-analysis.Clin Nutr,36,710-721.
  13. 王洪圖, HT(2011).內經.北京=Beijing:人民衛生出版社=People's Medical Publishing House.
  14. 王綿之, MZ,許濟群, JQ(2006).方劑學.台北=Taipei:知音出版社=JYIN publishing company.
  15. 吳宏乾, HQ(2015).最新腧穴圖鑑.台北=Taipei:知音出版社=JYIN publishing company.
  16. 李克光, KG(2012).金匱要略精注讀本.台北=Taipei:知音出版社=JYIN publishing company.
  17. 林芸薇, YW,黃升騰, ST,朱建福, CF(2010)。小兒手術後腸沾黏之中醫治療經驗─案例報告。中醫藥雜誌,21,157-163。
  18. 張介賓, JB(2007).景岳全書.北京=Beijing:人民衛生出版社=People's Medical Publishing House.