Wu Shuenn-Yun, Wen Ko-Ying, Chou Han-Chin, Chiu Shang-Ming, Hou Yu-Chang, Chang Yuan-Yi
Department of Chinese Medicine, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan.
Yu-Yang Chinese Medicine Clinics, Taoyuan, Taiwan.
J Tradit Complement Med. 2020 Mar 4;10(5):504-510. doi: 10.1016/j.jtcme.2020.02.012. eCollection 2020 Sep.
Traumatic brain injury (TBI) is characterized by high prevalence, morbidity, and mortality. Diffuse axonal injury (DAI) is a specific type of TBI leading to prolonged consciousness impairment and disability. There is still no standard treatment for DAI, so we introduced traditional Chinese medicine into the treatment of these patients.
Three patients had TBI after traffic accidents. Their Glasgow Coma Scale (GCS) scores in the intensive care unit (ICU) were EVM-, EVM-, and EVM respectively. All of them were diagnosed with DAI based on magnetic resonance imaging (MRI). Because of continuing consciousness disturbances, their families agreed to combine traditional Chinese medicine and modern medicine treatments through inpatient consultation in Taoyuan General hospital. Two patients took Buyang Huanwu Decoction, and one Tianma Gouteng Decoction twice a day. All of them received 20 min of acupuncture treatments 5 times per week. Acupuncture points included Baihui (GV20), Sishencong (EX-HN1), Shuigou (GV26), Hegu (LI4), and Taichong (LR3). All of them started Traditional Chinese medicine treatment within 2 weeks after TBI. The GCS of all three patients recovered to EMV.
The early addition of traditional Chinese medicine treatments to Western medical care can improve the prognosis of patients with diffuse axonal injury.
创伤性脑损伤（TBI）具有高发病率、高致残率和高死亡率的特点。弥漫性轴索损伤（DAI）是TBI的一种特殊类型，可导致长期意识障碍和残疾。目前DAI仍无标准治疗方法，因此我们将中医引入此类患者的治疗中。
3例患者因交通事故导致TBI。他们在重症监护病房（ICU）的格拉斯哥昏迷量表（GCS）评分分别为EVM-、EVM-和EVM。根据磁共振成像（MRI），他们均被诊断为DAI。由于持续存在意识障碍，其家属同意通过桃园总医院的住院会诊，将中医与现代医学治疗相结合。2例患者服用补阳还五汤，1例患者服用天麻钩藤饮，均每日2次。他们均每周接受5次、每次20分钟的针灸治疗。穴位包括百会（GV20）、四神聪（EX-HN1）、水沟（GV26）、合谷（LI4）和太冲（LR3）。所有患者均在TBI后2周内开始接受中医治疗。3例患者的GCS评分均恢复至EMV。
在西医治疗的基础上早期加用中医治疗可改善弥漫性轴索损伤患者的预后。
