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中医药研究论丛
 263.7 中医治疗 Covid-19 疫苗接种後粘黏性 肩关节囊炎病例报告
TJ TCM.26(3) : 93-101, 2023
DOI : 10.6516/TJTCM.202309_26(3).0007
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中医治疗 Covid-19 疫苗接种後粘黏性肩关节囊炎病例报告
Chinese Medicine Treatment in SIRVA
(Shoulder Injury Related to Vaccine Administration) following
COVID-19 Vaccination – A Case Report
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张扬楷 1,2 张凯惟 1,2 龚彦颖 1,2 陈方佩 1,2,*
1 台北荣民总医院传统医学部，台北，台湾
2 国立阳明交通大学传统医药研究所，台北，台湾
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【摘要】
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因疫苗接种造成相关的肩部损伤(SIRVA)是一种更严重的疫苗接种後并发症，与肌肉注射疫苗後常见的局部酸痛相比，SIRVA 会出现肩部持续严重的疼痛和活动范围受限。目前的理论是，疫苗注射到肩关节或三角肌下会导致发炎反应，并影响包括滑囊、肌腱和韧带在内的周围结构。新型冠状病毒 COVID-19 全球疫情严峻下，疫苗施打是每位人民保护自己也保护他人的重要措施，疫苗接种政策盛行同时也使 SIRVA 的全球发病率呈上升趋势。本案例是一名50岁男性，於110年12月接种 covid-19疫苗後，开始右手上举困难，上举约60度三角肌处痛，影响肩关节活动度受限，症状持续三个月未好转，於111年3月前往北荣传统医学部针灸治疗後，肩关节活动度增加许多，恢复度明显进步。希望这一有效案例能够提供给中医界作为临床实践的叁考，并且在这全球疫情下，我们可以证明中医能帮助且改善疫苗接种後的副作用。
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【关键词】SIRVA, COVID-19，疫苗副作用，五十肩，粘黏性肩关节囊炎
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Yang-Kai Chang1,2 Kai-Wei Chang1,2 Yen-Ying Kung1,2 Fang-Pey Chen1,2,*
1 Center for Traditional Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
2 Institute of Traditional Medicine, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
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【Summary】
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Shoulder injury related to vaccine administration (SIRVA) is a more serious complication, comparing with common and localized soreness and pain following intramuscular vaccinations, and causing persistent pain and limited range of motion in the shoulder after the vaccination. The current theory is that inadvertent injection of the vaccine into the shoulder joint or subdeltoid bursa results in an inflammatory response and affects surrounding structures including the bursa, tendons, and ligaments. As the vaccination policy for preventing the spread of Severe Acute Respiratory Syndrome Coronavirus (SARS-COV2), it is believed that the incidence of SIRVA is increasing globally. We present a reported case of SIRVA following a mRNA COVID-19 vaccination. A 50-year-old male results in onset of right shoulder pain and limited range of motion that persists for three months after the vaccination. After receiving Chinese Medicine treatment, his symptoms improved significantly. This effective case is hoped to be provided to the Traditional Chinese Medicine practitioners as a reference for clinical practice. And under the global epidemic, we can conclude that Traditional Chinese Medicine can help the side effect after vaccination.
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【Keywords】Shoulder injury related to vaccine administration (SIRVA), COVID-19, adhesive capsulitis, frozen shoulder, Traditional Chinese Medicine
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