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中医药研究论丛
 262.4 中医居家急性後期照护颅脑损伤後吞咽困难之病例报告
TJ TCM.26(2) : 41-50, 2023
DOI : 10.6516/TJTCM.202306_26(2).0004
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中医居家急性後期照护颅脑损伤後吞咽困难之病例报告
A Case Report of a Patient with Dysphagia after Craniocerebral Injury Receive Post-
Acute Home Healthcare of Traditional Chinese Medicine
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许霂蓉1 方羽侦1 林原禾1,2 林新杰1,2 陈冠佐1,2,*
1 义大医院癌治疗医院中医科，高雄，台湾
2 义守大学学士後中医系，高雄，台湾
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【摘要】
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本病例为33 岁女性病患，在2021 年6 月遭遇车祸时受到严重头部外伤，经过多次手术，病况稳定後携带鼻胃管於7 月21 日出院，返家後吞咽障碍仍存，经口进食易呛咳，情志抑郁寡欢，遂於8 月19 日开始接受居家医疗照护整合计画之中医访视。期间以中药、针灸及电针治疗持续三个月，患者吞咽功能大幅改善，於11 月由西医团队评估成功移除鼻胃管。本病例记录了中医治疗创伤後吞咽困难并成功移除鼻胃管之病案，说明了中医叁与居家医疗照护整合计画不仅使患者加速恢复吞咽机能、促进患者生活品质，更彰显中医在居家急性後期照护的可行性。由於家属期望增加治疗频率，在医病共享决策後於12 月由居家照护转衔为门诊照护。
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【关键词】中医药、吞咽障碍、针灸、居家医疗整合照护、急性後期照护
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Hsu Mu-Jung1Fang Yu-Jeng1Lin Yuan-Ho1,2Lin Hsin-Chieh1,2
Chen Kuan-Tso1,2,*
1Department of Traditional Chinese Medicine, E-Da Cancer Hospital, Kaohsiung, Taiwan
2School of Chinese Medicine for Post Baccalaureate, I-Shou University, Kaohsiung, Taiwan
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【Summary】
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This is a 33-year-old female who suffered severe head trauma in a car accident in June 2021. After multiple surgeries, she was discharged from the hospital on July 21 with a nasogastric tube in stable condition. After returning home, the swallowing disorder still exists. She was prone to choking and coughing when eating in the mouth, and was emotionally depressed and unhappy, so she began to receive Post-Acute Home Healthcare of Traditional Chinese Medicine (TCM) on 8/19. During the period, Chinese medicine, acupuncture, and electropuncture lasted for three months, and the patient’s swallowing function improved significantly. In November, the nasogastric tube was successfully removed after evaluated by the Western medical team. This case records a patient suffered from post-traumatic dysphagia whose nasogastric tube was successfully removed after the care of TCM. It shows that TCM’s participation in the home medical care
integration plan can not only accelerate the recovery of swallowing function and improve the patient’s quality of life, but also demonstrates the feasibility of TCM in the Post-Acute Home Healthcare. Due to the family’s expectation to increase the frequency of treatment, after the decision of sharing the doctor and the patient, this case was transferred from home care to outpatient care in December.
【Keywords】Traditional Chinese Medicine, Dysphagia, Acupuncture, Home Medical
Integrated Care, Post-Acute Care
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