搶救慢性腎衰竭病患於血液透析前之病例報告

A Case Report of Treating Patients with Chronic Kidney Failure before the Blood Dialysis

巫雲光(Win-Kuan Wu)

《傳統醫學雜誌》 22卷1期 (2011/10) Pp. 61-69

https://doi.org/10.30038/JTM.201110.0007

摘要

一位82歲的男性長者，慢性腎衰竭病史已五年，曾經嘗試中醫、西醫、民俗療法、草藥等多種療法，療效均未滿意。95年11月中醫巡迴醫療團隊進駐澎湖縣望安鄉將軍村，提供中醫門診醫療服務，介入本病患慢性腎衰竭之持續性診療近四年，依據中醫門診及相關檢驗數據，結果顯示達到預期之療效。藉此病例報告，確認中醫對於慢性腎衰竭的病程具有減緩及改善的效果，亦可提供慢性腎衰竭病患多一項有效治療的選項。台灣末期腎病之盛行率和發生率皆高居世界首位；慢性腎臟病亦為台灣地區十大死因之第八位；洗腎人口比例高居世界第二位。根據高雄醫學大學附設醫院腎臟科黃尚志醫師等學者調查，台灣地區約有6.9%的人口有第三期以上的慢性腎臟病。由以上資料可以瞭解慢性腎臟病對國人健康的威脅甚大，衛生署也已將「慢性腎臟病防治」列為重大保健工程。中醫醫療對於慢性病之診療向來具有其特殊的療效，對於慢性腎病的防治應該積極參與，運用中醫學的特色，提供適當的慢性腎臟病醫療照護，善盡健康守門員之責任。

關鍵字

慢性腎衰竭

並列摘要

An 82-year-old man, who has been afflicted with chronic kidney failure for five years, has resorted to Chinese medicine, Western medicine, and alternative treatments to no avail. In November 2006, with the aim of providing Chinese Medicine clinical service, Doctors of Chinese Medicine on Tour posted in General Village of Wan-an, Penghu took over this case and started treating this patient continuously for almost 4 years. According to the readings taken by the clinic as well as the related tests, it is shown that the treatment has achieved the desired effect. From this case report, it is confirmed that the Chinese Medicine is effective in alleviating and improving the condition of patients with chronic kidney failure, and therefore provides an alternative treatment option for these patients. The prevalence rate of terminal kidney diseases in Taiwan tops number one in the world, and chronic kidney diseases ranks the 8th in the ten major death causes in Taiwan. On top of that, the percentage of people receiving dialysis is the second highest on earth. A research done by Dr. Shan-chi Huang and his colleagues in the Hospital of Kaoshuang Medical College shows that 6.9 percent of Taiwan's population suffer from stage three and the above chronic kidney diseases. It can be seen that chronic kidney diseases have pose a serious threat to the people of Taiwan therefore, the Department of Hygiene has listed ”Prevention of chronic kidney diseases” as one of its top priorities. Since the Chinese Medicine has always been a helpful tool in treating chronic diseases, it is suggested that the doctors of Chinese Medicine, who have obligation to keep diseases off from people, make good use of the characteristics of this ancient wisdom and aggressively participate in the prevention of chronic kidney diseases so as to provide appropriate care to patients with chronic kidney diseases.

並列關鍵字

Chronic kidnex failure