ZHANG Shao-ying, SHENG Ji-li. Hemorrhage risk and countermeasures of acupuncture treatment in patients undergoing administration of anticoagulants and antiplatelets[J]. Acupuncture research, 2021, 46(8): 707-709.
DOI:
ZHANG Shao-ying, SHENG Ji-li. Hemorrhage risk and countermeasures of acupuncture treatment in patients undergoing administration of anticoagulants and antiplatelets[J]. Acupuncture research, 2021, 46(8): 707-709. DOI: 10.13702/j.1000-0607.20210151.
Hemorrhage risk and countermeasures of acupuncture treatment in patients undergoing administration of anticoagulants and antiplatelets
摘要
抗凝及抗血小板药物在临床应用日益普遍
因此服药后针灸治疗的出血风险需要重视。合并用药
非正确服药剂量及频率
合并肝肾功能损伤是导致抗凝及抗血小板药物应用后针刺出血风险增加的主要原因。详细采集病史
关注凝血相关检验
重视血容量和血小板相关参数以及完善诊疗流程是针对应用抗凝及抗血小板药物后针灸治疗出血风险的对策。
Abstract
Acupuncture therapy is widely used in the treatment of various clinical problems
but has some contraindications which should be highly noted. For example
patients with potential hemorrhagic tendency owing to administration of necessary anticoagulants and antiplatelets should be paid more attention when acupuncture therapy was performed. Usually
anticoagulants and antiplatelets combined with nonsteroidal anti-inflammatory hormones
antibiotic agents and vasodilators significantly increased the risk of bleeding. Chinese herbal medicines for activating blood circulation to arrest pain
and improper medication including the dosage and frequency should be avoided. Patients with chronic liver diseases
acute and severe liver and kidney function impairment due to inability to secrete coagulation factor in time to initiate coagulation mechanism are also unsuitable for acupuncture the-rapy. For this reason
we put forward some necessary countermeasures: a) collecting the patient's medical history in detail
b) paying attention to the coagulation related tests
c) taking the patient's blood volume and platelet related parameters seriously
and d) enacting reasonable diagnosis and treatment ideas.