Acupuncture Treatment for Dyspnea due to Combined Pulmonary Fibrosis and Emphysema: A Case Report
| Autor: | Jun Matsumoto-Miyazaki, Nagisa Miyazaki, Ayuko Nishiwaki, Junki Endo, Hiroaki Ushikoshi, Yasushi Ohno, Shinya Minatoguchi |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty business.industry Pulmonary Fibrosis Acupuncture Therapy Acupuncture treatment medicine.disease Combined pulmonary fibrosis and emphysema Surgery Idiopathic pulmonary fibrosis Dyspnea Treatment Outcome Pulmonary Emphysema Complementary and alternative medicine Patient Satisfaction Fibrosis Walk test Acupuncture Humans Medicine Exertion business Acupuncture Points Aged Western medicine |
| Zdroj: | The Journal of Alternative and Complementary Medicine. 21:804-809 |
| ISSN: | 1557-7708 1075-5535 |
| DOI: | 10.1089/acm.2015.0132 |
| Popis: | Combined idiopathic pulmonary fibrosis with pulmonary emphysema (CPFE) is a syndrome with a characteristic presentation of upper lobe emphysema and lower lobe fibrosis. Dyspnea on exertion (DOE) is a major symptom of CPFE. We report a patient with DOE due to CPFE who was successfully treated with acupuncture.Case report.A 72-year-old Japanese man with a 4-year history of DOE was diagnosed with CPFE 2 years previously in another hospital. He received standard Western medicine treatment, which included bronchodilators. However, his DOE did not improve. Consequently, he visited our hospital for acupuncture treatment and received acupuncture treatment once a week for 1 year.After 10 weeks of acupuncture treatment, the results of the 6-minute walk test (6-minute walking distance, 379 m; lowest oxygen saturation, 86%; modified Borg dyspnea scale score: 2 units) were better than those at baseline (352 m, 84%, 4 units, respectively). These values were sustained at both 30 weeks (470 m, 88%, 1 unit) and 60 weeks (473 m, 85%, 2 units). Serum interstitial biomarkers, Krebs von den Lungen and surfactant protein-D, decreased after commencement of acupuncture therapy.A patient with CPFE showed improvements in dyspnea scores, exercise tolerance, and serum biomarkers during a 1-year course of acupuncture treatment. Use of acupuncture might be an effective adjunct therapy in relieving DOE due to CPFE. A large, well-designed cohort study that includes patients with CPFE treated with acupuncture should be conducted. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|