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222.17 出血性脑中风急性期中医介入治疗经验－三个病例报告

TJ TCM.22(2) : 171-180, 2019 171

DOI : 10.6516/TJTCM.201909_22(2).0017

出血性脑中风急性期中医介入治疗经验－三个病例报告

Early TCM Interventional Treatment Experience of Hemorrhagic Stroke: Three Case Reports

郑宇真１　林昱廷１　陈建仲1,2　黄仲谆1*

１佛教慈济医疗财团法人台中慈济医院中医部，台中，台湾

2 花莲慈济大学学士後中医学系，花莲，台湾

【摘要】

脑血管疾病中出血性脑中风不但预後较差，并且在亚洲的发生率高於西方国家，造成家庭和国家庞大的医疗负担，如何减少患者後遗症状，加强肢体活动能力，使之恢复生活自理能力、降低社会照护成本是现医疗努力的目标。

本病例报告为三个重度出血性脑中风中医早期介入治疗案例，经治疗患者神经功能皆获得改善。中医治疗上，根据本院多年临床观察治疗经验，归纳出「辨病」治疗模式：急性期藉由恢复人体中焦气机，改善脑部出血後的标症－气逆痰瘀化火，治以化痰醒脑开窍。

【关键词】中脏腑、出血性脑中风、急性期中医介入、中西医结合治疗

Yu-Chen Cheng1　Yu-Ting Lin1　Jian-Jung Chen1,2　Chung-Chun Huang1*

1Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan

2School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan

【Summary】

Introduction: According to the American Stroke Association, Cerebrovascular accident(CVA) is the leading cause of disability and the fifth cause of death. Compared to ischemic stroke, hemorrhagic stroke leads to higher mortality and more severe disability. Patients with GCS scored 8 or below are defined as severe stroke, which might lead to poor outcome, increase social and economic burden. Early intervention of integrated treatment of TCM and western medicine for severe stroke is essential to decrease mortality and disability rate.

Case description: We present three cases of severe hemorrhagic stroke, including aneurysm rupture, hypertensive cerebral hemorrhage and pontine hemorrhage. The initially GCS were all below 8, and all of them received Chinese medicine within four days after onset. After several months of treatment, their neurological function has improved.

Discussion: In our experience, integrated treatment of TCM and western medicine can improve their self-care ability, and make better recovery for hemorrhagic stroke patients. Our hypothesis is that TCM can restore human qi circulation, and accelerate brain repair. We hope to share these cases of early TCM interventional treatment for stroke to reduce mortality and disability rate.

【Keywords】

severe stroke, hemorrhagic stroke, early intervention, integrated treatment of TCM and western medicine

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