中医药研究论丛

242.5 中医治疗化疗相关的睡醒障碍病例报告
TJ TCM.24(2) : 57-64, 2021
中医治疗化疗相关的睡醒障碍病例报告
A Case Report of TCM Therapy for Chemotherapy-Related Insomnia
陈有昱1,2* 蔡嘉一1,2,3,4
1 台中荣民总医院传统医学科,台中,台湾
2 台中荣民总医院传统医学科,云林,台湾
3 弘光科技大学护理学系,台湾
4 东海大学共同学科暨通识教育中心,台中,台湾
【摘要】
这是一位37 岁女性,平素就有入睡困难和浅眠易醒问题,曾至西医身心科就医,并服用安眠药(STILNOX)治疗,服用後虽能入睡,但白日仍疲惫。患者於106/5 诊断出大肠癌後,在106/6 化疗(FOLFOX+Avastin)後,失眠症状明显加重,STILNOX 剂量增至2 颗,因上述症状故於106/9 会诊中医,寻求治疗。患者经诊断属於肝气郁滞,导致肝脾不和,上扰心神而致不寐,服用中药後症状明显改善,可逐步降低安眠药剂量。本病例在探讨中医药辅助治疗癌症患者於化疗相关睡眠障碍可望达到之目标。
【关键词】大肠癌、化学治疗、失眠、不寐、肝郁
 
Yu-Yu Chen1*Chia-I Tsai1,2
1Department of Traditional Medicine, Taichung Veteran’s General Hospital,Taichung, Taiwan
2General Educational Department, Tung Hai University, Taichung, Taiwan
【Summary】
We reported a 37-year-old female with history of insomnia and takes STILNOX.The patient was diagnosed of S-colon cancer in 2017/5 and s/p chemotherapy with FOLFOX+Avastin started from 20170607.The patient’s insomnia increased significantly after 106/6 chemotherapy (FOLFOX+Avastin).The dose of STILNOX was increased to 2#. Due to the above symptoms, she consulted Chinese medicine at 2017/9 for treatment. The patient was diagnosed as having liver qi stagnation, which caused liver and spleen stagnation, disturbed the mind and caused uneasiness. After taking Chinese medicine, the symptoms improved significantly, and the sleeping dose could be gradually reduced. This case explores the goals that chemotherapy-related sleep disorders can be expected to be achieved by adjuvant Chinese medicine treatment of cancer patients.
 
【Keywords】Colon Cancer; Chemo-Therapy; Insomnia; Sleepless; Liver-function Stasis