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篇名
中西醫聯合治療小兒腸病毒感染重症之經驗
並列篇名
AN EXPERIENCE OF CHINESE AND WESTERN MEDICINE INTEGRATED APPROACH FOR TREATMENT OF ENTEROVIRUS INFECTION
作者 韓豐隆張桓鴻陳建霖夏紹軒張家錫馬建中
中文摘要
長庚中醫與小兒加護病房合作,聯合治療三例腸病毒71 型感染重症兒,其臨床表現各不相同,分屬中醫辨證濕熱型及寒濕型兩種極端,符合中醫小兒暑溫重症病程發展規律。治療方式上,濕熱型採用清心化痰、開竅熄風、益氣救陰固脫以及清濕熱化痰濁;寒濕型採用健脾燥濕、芳香開竅、益氣溫陽等法。三位患兒均在一週內意識恢復清醒,兩週內四肢肌力恢復正常,其中較早會診中醫治療的兩位患兒,更於住院三個月後,成功脫離呼吸器出院,而吞嚥能力亦明顯進步。中西醫合作治療效果顯著,能明顯縮短恢復期,改善後遺症,可供臨床參考。Center for Traditional Chinese Medicine, Chang Gung Memorial Hospital, in cooperated with the intensive care unit of Chang Gung Children’s Hospital, treated 3 children with severe enterovirus 71 infection. Clinical evidence observed in these 3 cases can be classified into 2 different pattern types in terms of Chinese medicine pattern identification (damp-heat and damp-cold). Treatment methods used for the “damp-heat” pattern are “clearing the heat and transforming phlegm; opening the orifices and extinguishing wind; boosting qi, supplementing yin and stemming desertion”; while treatment methods used for the “damp- cold” pattern are “fortifying the spleen and drying dampness, transforming turbidity and opening the orifices with aroma, boosting qi, supplementing yang”. After applying the above treatment protocol, all 3 patients recovered consciousness in 1 week, and muscle power returned in 2 weeks. The 2 cases who received early intervention with Chinese medicine recovered and left the hospital respirator-free after a 3-month period of admission. This experience shows the possibility of shortening recovery and controlling sequelae with a Chinese/western medicine integrated treatment approach for severe enterovirus infection.
起訖頁 79-86
關鍵詞 血藤屬血藤雞血藤解剖學 MucunaXuetengGixuetengAnatomy
刊名 中醫藥雜誌  
期數 200406 (15:2期)
出版單位 衛生福利部國家中醫藥研究所(原:國立中國醫藥研究所)
該期刊-上一篇 針灸臨床效益與解剖、組織與生化相關性之深入研究
該期刊-下一篇 聖愈湯改善環己醯胺誘發大鼠之健忘
 

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