中部地區脊髓損傷病患求診傳統中醫之探討

The Exploration of Utilization of Traditional Chinese Medicine Among People with Spinal Cord Injury in Central Taiwan

李浤岦(Hong-Li Lee) ； 畢柳鶯(Liu-Ing Bih)

《中華民國復健醫學會雜誌》 28卷4期 (2000/12) Pp. 245-251

https://doi.org/10.6315/JRMA.200012.0245

摘要

為了解中部地區脊髓損傷病患使用傳統中醫的情況、自覺改善情況及所面臨的困難，以居住在中部地區脊髓損傷病患為對象，包括中部地區某復健專科醫院住院或門診的所有設籍中部地區(臺中縣、臺中市、彰化縣、及南投縣)脊髓損傷患者及這四個縣市的脊髓損傷協會會員隨機選取不重複的個案，用自填問卷法其內容送請五位專家審定，再經預試修定而成。結果顯示：脊髓損傷後接受傳統中醫治療的方法依次為中藥帖(27.4%)、針灸(25.6%)、及推拿(20.0%)，治療地點依次為中醫醫院或診所(43.3%)、西醫醫院或診所(21.9%)，治療的費用五成以上(53.9%)是完全自費，每次治療金額大部份介於200-500元之間(34.8%)，經過治療後自覺有療效(非常有改善及有一點改善)的症狀依次為皮膚不完整性(破皮)(79%)、腸胃消化道排便系統(76.6%)及情緒抑鬱(75.2%)。有65.2%個案有意願參加本研究所採樣之復健醫院之針刺治療。在復健科門診使用針刺療法可能有以下好處：1減少病患奔波之苦，以利同時接受中西醫治療，2由專精於照顧脊髓損傷病患者之復健科醫師對患者施以針刺療法更能分析療效之所在，3使病患免於受到江湖郎中之錯誤治療，4擴展復健科醫師的專業領域。

關鍵字

脊髓損傷 ； 傳統中醫

並列摘要

People with spinal cord injury often asked help to manage the symptoms such as spasticity, inco-ntinence of sphincter or paresthesia with combination of Western medicine and traditional Chinese medicine. In order to explore the popularization of, perceived effectiveness of traditional Chinese medicine, and difficulty to be faced when utilizing traditional Chinese medicine among people with spinal cord injury in central Taiwan, we collected and analyzed 115 effective questionnaires of them who had ever used Chinese medicine after injury. The results showed: the ways utilizing traditional Chinese medicine most were prescribed Chinese herbs (27.4%), acupuncture (25.6%) and Chinese massage (20.0%), the places to see Traditional Chinese medicine most were Chinese hospital or clinics (43.4%), Western hospital or clinics (21.9%). More than half of samplers utilized traditional Chinese medicine at their own expense with 200-500 NT dollars of medical charges that most of them (51.6%) afforded. The symptoms of the most perceived effectiveness are pressure sore (79%), incont-inence of sphincter (76.6%), and depressive mood (75.2%). 65.2% of participants agreed to attend the acupuncture therapy in the rehabilitation hospital where we collected the study sample. The advantages of combining acupuncture in rehabilitation clinics are : 1.convenient for receiving treatment combing Western and Chinese medicine, 2.understanding well the exact effect of acupuncture on symptoms associated with spinal cord injury under the operation of rehabilitation specialist, 3.preven-ting patients from misdiagnosed or cheated by conjurers, 4.expending specialist fields of physiatrists.

並列關鍵字

spinal cord injury ； traditional Chinese medicine