日本急诊科前皮神经卡压综合征横断面研究

IF 1.8 Q2 MEDICINE, GENERAL & INTERNAL
Yasuhiro Kano, Junpei Komagamine, Kengo Murata
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引用次数: 0

摘要

前皮神经卡压综合征(ACNES)是导致腹壁疼痛的最常见原因。本研究旨在明确日本一家综合医院急诊科(ED)中ACNES病例在腹痛病例中所占的比例,以及该病的临床特征和预后。研究人员回顾了2014年1月至2023年12月期间患者的病历,纳入了15岁或15岁以上腹痛且卡奈特征阳性、对扳机点注射(TPI)反应良好并确诊为ACNES的患者。然后确定了 2020 年至 2023 年期间急诊室腹痛相关主诉中 ACNES 病例的比例。此外,还通过病历数据和电话随访确定了复发率。21名患者的中位年龄为50岁(16-83岁),13名(62%)为女性,11名(52%)为急性腹痛。11名患者(52%)获得了随访数据,其中7名患者(64%)在就诊后1周内反复出现疼痛。ACNES在急诊室腹痛患者中所占的比例为0.11%。在急诊室腹痛患者中,ACNES可能并不常见,但对该病症的诊断不足可能会导致低估病例比例。此外,鉴于与 ACNES 相关的腹痛复发率较高,对这些患者进行随访非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A cross‐sectional study of anterior cutaneous nerve entrapment syndrome at a Japanese emergency department
Anterior cutaneous nerve entrapment syndrome (ACNES) is the most common cause of abdominal wall pain. This study aimed to clarify the proportion of ACNES cases among those of abdominal pain and the clinical characteristics and prognosis of the disease in an emergency department (ED) of a Japanese general hospital.The medical records of patients from January 2014 to December 2023 were reviewed, and patients aged 15 years or older with abdominal pain with positivity for Carnett's sign, a good response to trigger point injection (TPI), and an ACNES diagnosis were included. The proportion of ACNES cases among the complaints related to abdominal pain in the ED between 2020 and 2023 was then determined. The recurrence rate was also determined using data from the medical records and telephone follow‐ups.Twenty‐one patients were included. Their median age was 50 years (range: 16–83 years), 13 (62%) were female, and 11 (52%) had acute‐onset pain. Follow‐up data were available for 11 patients (52%), seven (64%) of whom had recurrent pain for a median period of 1 week after the index visit. The proportion of ACNES cases among those of abdominal pain was 0.11%.ACNES might be uncommon among patients with abdominal pain in the ED setting although underdiagnosis of this condition might have led to an underestimation of the proportion of cases. Moreover, given the high recurrence rate of abdominal pain associated with ACNES, following up these patients is very important.
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来源期刊
Journal of General and Family Medicine
Journal of General and Family Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.10
自引率
6.20%
发文量
79
审稿时长
48 weeks
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