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題名 | 中醫輔助治療對腦中風西醫住院病患的療效以及安全性臨床觀察=The Efficacy and Safety in Clinic Observation of Chinese Medicine Therapy in Hospitalized Stroke Patients |
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作者 | 潘天健; 邱慧芳; 彭昱憲; 林榮志; 李承洋; 張宏州; Pan, Tien-chien; Chiu, Hui-fang; Peng, Yu-hsien; Lin, Jung-chih; Lee, Cheng-yang; Chang, Hong-chou; |
期刊 | 中西整合醫學雜誌 |
出版日期 | 20121200 |
卷期 | 14:4 2012.12[民101.12] |
頁次 | 頁15-27 |
分類號 | 413.34 |
語文 | chi |
關鍵詞 | 腦中風; 針灸; 中藥安全; Stroke; Acupuncture; Safety of Chinese medicine; |
中文摘要 | 本研究以中部某地區醫院,發病六個月內之腦中風病患接受西醫住院復健治療同時會診中發治療的病患為對象,探討中醫輔助治療對腦中風住院病患的臨床療效觀察與安全性評估。一年期間共收納167位患者,包括單純針灸治療組31位與針灸配合中藥治療組136位。單純針灸治療組治療前巴氏量表總分32.91±5.22,治療後38.39±5.68,P<0.01;NIHSS量表治療前總分17.79±1.57,治療後16.28±1.62,P<0.01。針灸合併中藥治療組治療前巴氏量表總分37.91±2.33,治療後44.75±2.33,P=0.01;NIHSS量表治療前13.13±7.46,治療後11.92±7.27,P<0.01。針灸治療組在位移、行走於平地上、上下樓梯、顏面麻痺、左上肢、左下肢等項目, 治療後有顯著進步;針灸配合中藥治療姐則在進食、位移、行走於平地上、上下樓梯、穿脫衣服、大小便控制、意識程度、顏面麻痺、四肢、語言、發音困難度等項目,具有顯著進步。針灸治療期間無任何感染、氣胸、或非預期之出血等併發症發生。針灸配合中藥治療患者,治療期間無肝毒性或腎毒性等副作用發生。本研究顯示發病六個月內之腦中風病患在西醫復健常規治療下,配合中醫藥輔助治療安全性佳,病情恢復良好,值得進一步深入探討中醫藥治療的加乘療效,建立中西醫結合治療腦中風後遺症之模式,給予更積極有效的治療。 |
英文摘要 | This study enrolled 167 subjects suffering from stroke in hospital within 6 months, accepting rehabilitation and Chinese medical therapy to evaluate the efficacy and safety of Chinese medical therapy on stroke patients. There were 31 patients accepted acupuncture treatment and 136 patients accepted combination of acupuncture and intervention of Chinese medicine therapy. AII patients needed to be evaluated by a full Barthel Index and the National Institutes of Health stroke scale (NIHSS). The Barthel Index score of the acupuncture therapy group before and after treatment was 32.91±5.22, 38.39±5.68, respectively, P<0.01; and The NIHSS score before and after treatment was 17.79±1.57, 16.28±1.62, respectively, P<0.01. The Barthel Index score of the combination of acupuncture and intervention of Chinese medicine therapy group before and after treatment was 37.91±2.33, 44.75±2.33, respectively, P=0.01; and The NIHSS score before and after treatment was 13.13±7.46, 11.92±7.27, respectively, P<0.01. Both groups got prominent improvement on Barthel Index score and NIHSS score. Especially the group of combination of acupuncture and intervention of Chinese medicine therapy got more improvement on the function of eating, clothes wearing, stool and urine control, and consciousness (question and commends Following), language, pronunciation difficulty, than the acupuncture group. During the intervention of acupuncture, no side effects of infection, pneumothorax, or unexpectative bleeding; and Chinese medicine therapy also showed no adverse effects on liver and kidney function.This study showed that combination of conventional rehabilitation therapy and Chinese medical therapy could provide safety and efficacy for subjects suffering from stroke within 6 months. Further investigation about the synergistic effect of rehabilitation and Chinese medical therapy on stroke patients is required in the future. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。