非創傷性腦內出血之中醫居家照護：個案報告

Traditional Chinese Medicine home care for non-traumatic intracerebral hemorrhage: a case report

李俞生(Yu-Sheng Li)；蕭坤元(Kun-Yuan Hsiao)

針灸 ； 中醫居家照護 ； 腦中風 ； Acupuncture ； Chinese medicine home care ； stroke

北台灣中醫醫學雜誌

14卷1期（2022 / 03 / 01）

1 - 12

繁體中文

非創傷性顱內出血的常見症狀，以肢體無力而言，在病程中後期，除了藥物繼續支持，還需復健或中醫針灸介入。已出院患者常因行動不便而減少至院針灸的頻率，透過中醫居家照護可延續治療效果，本文提供一個案以供參考。本案例是一位六十歲主婦，發病前因頸動脈硬化規律服用抗凝血劑。2020年7月16日於家中突發昏厥並伴隨嘔吐，急診MRI檢查顯示左視丘急性出血。顱部減壓手術後會診中醫針灸介入，出院後改由中醫居家針灸治療，並兼以水煎中藥材以及科學中藥。治療結果方面，出院時肌力為（RU/RL/LU/LL=2/2/2/2）。接受3個月居家照護，每週1至2次治療，共14次，後續四肢肌力增加至（RU/RL/LU/LL=3/4/3/4），在攙扶下可練習走路。此案例中醫居家延續治療後恢復狀況良好。出院患者常因行動不便中斷治療，中醫居家照護可提供患者持續治療，減少治療中斷。

The common symptoms of non-traumatic intracranial hemorrhage, in terms of limb weakness, in the middle and late stages of the disease, in addition to continued support with drugs, rehabilitation or acupuncture intervention of traditional Chinese medicine is required. Discharged patients often reduce the frequency of acupuncture to the hospital due to inconvenience. The treatment effect can be continued through the home care of Chinese medicine. This article provides a case for reference. This case is a 60-year-old housewife who regularly took anticoagulants due to carotid atherosclerosis before the onset. On July 16, 2020, he suddenly fainted at home with vomiting. The emergency MRI examination showed acute hemorrhage of the left optic thalamus. After the cranial decompression operation, the patient will be consulted with Chinese medicine acupuncture intervention, and after discharge from the hospital, he will be treated by Chinese medicine at home acupuncture, combined with decoction of Chinese medicinal materials and scientific Chinese medicine. In terms of treatment results, the muscle strength at discharge was (RU/RL/LU/LL=2/2/2/2). Received 3 months of home care, 1 to 2 treatments per week, 14 times in total, the muscle strength of the limbs increased to (RU/RL/LU/LL=3/4/3/4), and he could practice walking with support. In this case, the recovery condition was good after continuation of treatment at home by Chinese medicine practitioners. Discharged patients often interrupt treatment due to inconvenience, and Chinese medicine home care can provide patients with continuous treatment and reduce treatment interruptions.

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