中医药研究论丛

25S.21 中西合并治疗新冠肺炎後肌无力病例报告

TJ TCM.25(S) : 187-194, 2022

中西合并治疗新冠肺炎後肌无力病例报告

Integrated Chinese and Western Medicine Treatment for Myalgia after COVID-19 Case Report

黄建荣1 林舜谷2,3,4 吴翠霞1 陈赞文1,5

陈晓钧1,6 吴建东1,7 黄法乔1 刘洁心8*

1台北市中医师公会,台北,台湾

2台北市立联合医院仁爱院区,台北,台湾

3台北市立大学,台北,台湾

4国立阳明交通大学公共卫生研究所,台北,台湾

5旭生中医诊所,台北,台湾

6悦展中医诊所,台北,台湾

7咏生中医诊所,台北,台湾

8国立台湾师范大学健康促进与卫生教育学系,台北,台湾

【摘要】
新冠肺炎在2019年爆发,约在2020年三月在全球引发大流行,2021年五月在台湾肆虐。目前尚未有许多文章来描述,因新冠肺炎造成之肌肉疼痛和肌肉无力。重症患者在罹病後在加护病房住院较长,因此较可能造成加护病房後的肌肉无力。本篇病例报告为一位35岁女性,在加护病房有高烧因此持续使用抗生素。脉搏波形心输出监测显示低心脏舒张末期容积量和系统性的血管阻力曾使用升压剂和输液。曾因高血钾而间歇性洗肾。住院81日後,并发双下肢无力与上肢无法前举,经过中西医合并治疗,中医选用足阳明胃经足三里,手阳明大肠经合谷、血海、梁丘等穴道,患者肌力逐渐恢复。
【关键词】重症後虚弱症(ICU-acquired weakness) ; 新冠病毒(SARS-CoV-2) ; 中医
【Summary】
The COVID-19 broke out since 2019, and spread around the world from March 2020, and raged in Taiwan in May 2021. There are just a few articles described myalgia and muscle weakness caused by the COVID-19. Critical illness patients need to be hospitalized in the Intensive care unit for a long time, as a result, it is more likely to develop muscle weakness. This is a 35-year-old woman who was hospitalized in the intensive care unit for 81 days. She received the antibiotic treatment for high fever, vasopressin and fluid supply was provided owing to the PICCO revealed low diastolic volume and increased systemic resistance. She received on and off hemodialysis for hyperkalemia. After that, she suffered from weakness of both lower limbs and was not able to raise the upper limbs. However, after combining the Chinese and Western medicine, performing acupuncture at the ST-36 Zusanli, LI 4 Hegu,SP-10 Xuehai and ST 34 Liangqiu her muscle power gradually recovered.
【Keywords】
Intensive care unit-acquired weakness (ICUAW); Chinese Medicine