嗅覺障礙之中西醫合治病例報告

Dysosmia treated with Western and Chinese Medicine A Case Report

張益賓(Yi-Pin, Chang) ； 呂長庚(Chang-Keng Lu) ； 江佩蓉(Pei-Jung Chiang)

《中華針灸醫學會雜誌》 23卷3-4期 (2020/12) Pp. 25-34

摘要

本病例為一位52歲女性，105年5月感冒後，患者發覺聞不到除了麻油以外之味道。使用類固醇及小青龍湯及針刺穴位治療後，患者於10天內即感受到嗅覺功能部分恢復，而過去研究顯示單獨使用類固醇的平均恢復時間是52.4天。中西醫合併治療可能明顯縮短治療的時間。上呼吸道感染是嗅覺喪失的原因之一，臨床上常用藥物為類固醇治療，目前針對該疾病並無有效的治療方法。許多研究指出中醫治療能改善嗅覺障礙症狀及增進生活品質，但較少文獻提及中西醫合併治療之成效，本文分析嗅覺障礙中西醫合治的療效，並進一步探討是否相同的治療是否可以運用在新型冠狀病毒感染後造成的嗅覺障礙。

關鍵字

嗅覺障礙 ； 類固醇 ； 中藥 ； 新型冠狀病毒

並列摘要

This case is a 52-year-old woman. After catching a cold in 105/5, the patient found that she could not smell anything apart from sesame oil. Steroid and Xiao Qing Long Tang are prescribed, and the patient regained part of the olfactory function within 10 days when it took 52.4 days to regain olfactory function using steroid exclusively. Integrated Chinese and Western Medicine may shorten the course of recovery time. Upper respiratory tract infection is one of the causes of dysosmia. The commonly used clinical medicine is steroid therapy, and there is currently no effective treatment for this disease. Many studies have pointed out that TCM treatment can improve the symptoms of olfactory disorders and improve the quality of life, but few literatures mention the effectiveness of combined treatment of TCM and Western medicine. This article aims to explore the efficacy of combined treatment of steroid and Chinese medical intervention. Furthermore, we also discuss whether the same treatment can apply to the olfactory disturbance induced by COVID-19.

並列關鍵字

dysosmia ； steroid ； Chinese medicine ； COVID-19

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