中医药研究论丛

202.1 中西结合治疗脑中风疗效的回溯性分析

 

中西结合治疗脑中风疗效的回溯性分析
Chinese Medicine Treatment in Patients with Severe Cerebrovascular Disease in Acute
Phase-Retrospective Research
陈相如1 陈建仲1 蔡孟蓁1 林琼娥1 黄仲谆1*
1 财团法人佛教慈济综合医院台中分院中医部
【摘要】
背景:脑中风高居已开发国家之前三大死因并且造成国家重大负担,以中医针灸或中药照护可明显提升照护品质与恢复速度,然而医界对中医治疗於急性期介入仍持保留态度,故本研究分析中医於急性期介入进行中西医合并治疗重度脑中风患者之前後疗效。
材料与方法:选择本院2016 1 月到2016 12 月符合ICD-9(430-438) 诊断,加入「全民健康保险西医住院病患中医特定疾病辅助医疗计画」之病患,进行回朔分析。
结果:依照本研究之纳入及排除条件筛後,选出急性期合并中医介入重度脑中风个案,共23 人纳入分析,(男性13 人,女性10 人,平均年龄65.10±11.05 岁)。本研究针对重度脑中风患者急性期介入进行治疗前後分析,发现经中西医结合治疗後NIHSS 总分与巴氏量表於治疗前後总分有大幅度改善达显着差异(P<0.01),多个分项亦有显着差。
结论:脑中风发病7 日内中医介入治疗可能有利於中风患者之恢复。
异。
【关键词】
梗塞型中风、出血型中风、脑中风、急性期、中医
 
Hsiang-Ju Chen1 Jian-Jung Chen1 Meng-Jen Tsai1 Qion-e Lin1 Chung-Chun Huang1*
1Department of Chinese Medicine, Buddhist Tzu Chi General Hospital, Taichung Brach,
Taichung, Taiwan
【Summary】
Background: Cerebrovascular disease is often one of top three major causes of death in developed country and cause great financial burden to society. Chinese medicine or acupuncture treatment can significantly improve the quality of care and recovery, so this study aim to figure out the effect of TCM treatment in acute phase of severe cerebrovascular disease.
Methods and methods: Patients with ICD-9 (430-438) diagnosis from January 2016 to December 2016 who joined the "National Health Insurance of Western medicine hospitalized patients with Chinese medicine specific disease auxiliary medical program " and meet all inclusion and exclusion criteria were selected, and SPSS(V18)were used to analyze NIHSS and Barthel index.
Results: 23 patients (13 males and 10 females, mean age 65.10±11.05) were analyzed. Patients with severe cerebrovascular disease (NIHSS ≥15) showed significant improvement in NIHSS and Barthel index when receiving combine care of TCM in acute phase. (P<0.01**)
Conclusions: NIHSS scores of 96.65% (22/23) patients with severe cerebrovascular disease (NIHSS ≥15) were significantly improved and showed significant difference in pretest and posttest(p<0.01**). And there was no significant difference in NIHSS change in two weeks between receiving TCM treatment in 0-3day-group or 4-7-day-group , which indicated the correctness and safety of TCM treatment in the acute phase of cerebrovascular disease
KeywordsIschemic stroke, Hemorrhagic stroke, Stroke, Acute phase, Traditional Chinese medicine