針灸治療主動脈剝離術後併發脊髓損傷之病例報告一例

Acupuncture treatment of spinal cord injury after aortic dissection post operation: A case report

許益彰(Yi-Chang Hsu) ； 曾裕芳(Yu-Fang Tseng)

《中華針灸醫學會雜誌》 18卷1期 (2015/03) Pp. 39-48

摘要

本案例是一位51歲男性患者，因主動脈剝離被送至本院急診行緊急手術治療，術後血壓、生命徵象穩定，但出現下肢麻痺、感覺、運動、反射消失之脊髓休克現象，後來曾至他院做復健治療，但病情仍未獲得改善而求診於中醫，依美國脊髓損傷協會(ASIA)之國際分類標準評定為A級完全性脊髓損傷，予以針刺督脈穴、夾脊穴配合局部取穴治療一年多後，患者在感覺、運動以及排便狀況獲得部分改善。

關鍵字

截癱 ； 脊髓損傷 ； 針灸

並列摘要

This case is a fifty-one-year-old male patient, who was sent to our emergency department due to aortic dissection and emergent surgery was done. Unfortunately, postoperative was complicated with spinal shock, included lower limb paralysis, lost of sensory, motor and reflex. Then he was discharged and transferred to other hospital for rehabilitation treatment, but in vain. Because of the above problem, he asks us for help. Under the impression of completely spinal cord injury, ASCI-A, we treat him with acupuncture at Governor vessel, huatuojiaji acupoints and local meridian acupoints for more than one year and the condition of sensory, motor, bowel function get improved.

並列關鍵字

paraplegia ； SCI(spinal cord injury) ； acupuncture

參考文獻

王方永，脊髓損傷神經學分類國際標準第七版。

Gary M Abrams、Marc Wakasa：Chronic complications of spinal cord injury and disease，UpToDate，2014。

林昭庚，新編彩圖針灸學，知音出版社 : 154, 159, 164, 263, 278, 395, 400。

黎盛洪、包成群、池華升、葛躍華：針灸為主治療截癱 25 例，福建中醫藥2003, 34(6):28。

王明新、汪茜、姚共和，中醫對脊髓損傷病機的認識，湖南中醫藥導報，2004，10(6):7-11。