中西醫結合治療小腦出血性中風病例

Case Report of Integrated Chinese and West Medicine for Cerebellar Stroke

廖先胤(Hsine-Yin Liao) ； 葛正航(Jheng-Hang Ge) ； 李育臣(Yu-Chen Lee)

《中華針灸醫學會雜誌》 12卷4期 (2009/12) Pp. 45-54

https://doi.org/10.30076/JCMAA.200912.0007

摘要

小腦中風臨床表現與一般腦中風不同，主要爲眩暈、運動失調等。小腦中風針灸治療的相關期刊爲相對少數，不若針灸治療一般腦中風的期刊來得多。本病例是一位小腦出血性中風的66歲男性退休會計師，經西醫神經外科手術、復健科住院、中醫針灸會診、中醫針灸門診、復健科及神經外科門診等治療及追蹤，觀察時間達五個月。針灸以內關、太衝、百會、風池箏相關穴位爲主。除紀錄患者恢復情況，也對日常生活功能做評分。討論則以回顧針灸治療小腦中風等相關期刊做結，以供中醫針灸結合西醫治療的教學病例參考。

關鍵字

針灸 ； 小腦中風 ； 眩暈 ； 運動失調

並列摘要

The clinical presentations of cerebellar stroke differ from those of cerebral stroke. The articles about acupuncture for cerebellar stroke are fewer than those of cerebral stroke. We describe a 66-year-old men with ataxia and dysmetria caused by right cerebellar hemorrhage without other cognitive impairments. Besides acupuncturing the patient with acupuncture points such as Nei-Kuan, Tai Chong, BaiHui, Feng chi, we followed up the patient's functional independence measure and the result of neurological examination to assess the serial changes in the patient's motor coordination. It took us five months to follow up the case during the hospital course of Neurosurgery, Physical Medicine and Rehabilitation and the course of Chinese Acupuncture outpatient department. We also review the relative articles about acupuncture for cerebellar stroke to discuss whether acupuncture benefits people with coordination disorders casused by cerebellar stroke.

並列關鍵字

Acupuncture ； Cerebellar stroke ； Dizziness ； Ataxia