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논문 기본 정보

자료유형
학술저널
저자정보
김소연 (부산대학교 한의학전문대학원 한의과학과) 최준용 (부산대학교 한의학전문대학원 한의과학과) 박성하 (부산대학교 한의학전문대학원 한의학과) 권정남 (부산대학교 한의학전문대학원 한의학과) 이인 (부산대학교 한의학전문대학원 한의학과) 홍진우 (부산대학교 한의학전문대학원 한의학과) 한창우 (부산대학교 한의학전문대학원 한의학과)
저널정보
대한동의생리학회 동의생리병리학회지 동의생리병리학회지 제28권 제2호
발행연도
2014.1
수록면
238 - 242 (5page)

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Here we described 2 cancer patients treated by acupuncture for abdominal pain as a complication of bowel obstruction. The patient 1, 43-year-old man was treated with surgery, radiotherapy and chemotherapy for rectal cancer. Two years after surgery, he complained of acute abdominal pain due to small bowel adhesion band. Bowel obstruction and symptoms were not improved by conservative therapy like as fasting, keeping Levin tube, and fluid therapy. 4 months later, he could eat a little rice water, but ileus and abdominal pain persisted despite of applying opiod drug and patch. Got started on acupuncture, electroacupuncture(ST-36) and moxa treatment, pain was relived gradually. He could stop opioids 1 month later and ileus was improved after acupuncture therapy for 2 months. The patient 2, 65-year-old woman got hepatectomy, cholecystectomy, and chemotherapy with cholangiocarcinoma. 6 months after surgery, she got laparotomy again for biopsy of new mass around ascending colon. She started eating after gas passing, but felt abdominal distension. Diffuse paralytic ileus was diagnosed by abdominal X-ray, and she got started conservative therapy. During ST-36 electroacupuncture therapy, symptoms like abdominal pain and distension were improved and could stop opiod patch. But eating aggravated ileus again and clinical finding of mechanical bowel obstruction was appeared. Based on these cases, acupuncture and moxa therapy could be helpful for improving abdominal pain and ileus, but possibility of malignant bowel obstruction should be considered especially in cancer patients.

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