- 期刊
中西醫結合治療急性發炎性脫髓鞘性多發神經根神經炎：病例報告
Combined Traditional Chinese Medicine and West Medicine to Treat Acute Demyelination Polyradiculoneuropathy Disease: Rase report
摘要
急性發炎性脫髓鞘性多發神經根神經炎（acute Inflammatory demyelinating polyradiculoneuropathy, AIDP）屬於Guillain-Barré Syndrome（GBS）的一種類型，發病時主要影響神經根及周邊神經，造成患者肌肉力量減退或肢體癱瘓，嚴重者導致呼吸衰竭，甚至死亡。目前西醫治療以血漿置換、血漿透析或免疫球蛋白治療為主，大多數患者有良好的預後，但是患者容易殘留神經學症狀。中醫古代並無相類似的描述，以症狀對照，可歸納為痺症、痿症。此篇報告中的三個GBS病例，經中西醫結合治療後病情改善，繼續追蹤治療。
並列摘要
Acute demyelination polyradiculoneuropathy disease (AIDP) is a classification of Guillain-Barré Syndrome (GBS), which affects nerve root and peripheral nerve. Patients might experience diminished neurotransmission, sensory loss, decreased muscle strength, limited range of motion, and paralysis. Up to now, the best treatment strategy is plasmapheresis, plasma exchange, or use intravenous immunoglobulin (IVIG). The majority of patients has a good prognosis; however, some sequela might persist for many years. Chinese medicine does not have GBS record or the definition in the past. We only used GBS clinical symptom to contrast to the bi-syndrome and flaccidity-syndrome. We used traditional chinese medicine and acupuncture to treat two acute stage patients and one recovery period patient. We used the treatment protocol of dispelling pathogenic wind from muscles in the critical stage and invigorating spleen for eliminating dampness in the recovery period. All of these three patients satisfied with our combined treatment. Currently, these three patients can take self-care, but they still have numbness, pain, and fatigue problems. Further outpatient department follow up, and treatment are needed for improving patient's health.