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題名:初步無對照評估中醫住院治療對中風及腦傷患者的療效
書刊名:中醫藥雜誌
作者:官佳璇許惠菁薛宏昇楊建中唐遠雲楊賢鴻
作者(外文):Kuan, Chia-hsuanHsu, Hui-chingShiue, Horng-shengYang, Chein-chungTang, Yuan-yunYang, Sien-hung
出版日期:2016
卷期:27:2
頁次:頁(4)1-(4)7
主題關鍵詞:針灸中藥治療腦中風顱腦損傷中醫病房巴氏量表AcupunctureChinese herbal medicinestroketraumatic brain injuryChinese medical wardBarthel index
原始連結:連回原系統網址new window
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  • 共同引用共同引用:4
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為了瞭解入住長庚醫院中醫針傷科病房病患之特性及住院治療的療效,因此針對常見疾病進行療效評估研究,亦作為中醫住院未來納入保險給付項目之參考。回溯收集2013年3月至2015年6月期間於桃園長庚中醫針傷科住院之腦中風及顱腦損傷患病患病歷,登錄其基本資料及入出院時的巴氏量表評分,比較於中醫病房接受針灸合併中藥及復健治療前後對病人日常生活功能的改善程度。結果共97位病患納入研究。中醫病房的病人族群,有很大一部份是嚴重依賴 (Barthel指數低於40分,共75人)。入住中醫針傷科病房進行中西合併治療可以改善其日常生活功能,尤其是針對缺血性腦中風及外傷所致之顱腦損傷者(分別為P=0.032,P=0.043)。而分析初始巴氏量表評分的不同進行分組分析時,發現於初始分數介於5至20分及25至40分之間的患者其進步幅度較明顯。推論入住中醫針傷科病房進行針灸合併中藥及復健治療,對腦中風和顱腦損傷患者的日常生活功能改善均有幫助。
Self paid hospitalization to Traditional Chinese Medical Ward (TCM) of Chung Gung Memorial Hospital Taoyuan branch has been carried out for many years. This study aimed to outline a demographic data of the admitted patients, and evaluate the effectiveness of acupuncture and Chinese herbal treatment in our ward. Our report may provide suggestions for health authorities to consider covering hospitalization in TCM ward by health insurance payment. We reviewed the medical records of the hospitalized patients with diagnosis of stroke or traumatic brain injury in Traditional Chinese medical ward of Chung Gung Memorial Hospital, Taoyuan Branch, from March 2013 to June 2015. The clinical profiles included general characteristics and Barthel index. Barthel indices before and after hospitalization were compared with subgroup analysis. Ninety-seven patients were enrolled. Generally, hospitalization in Chinese Medical ward for combined acupuncture, Chinese herbal therapy, and conventional rehabiliation treatment improved activity of daily life (ADL), especially for patients with initial Barthel index around 5 to 40. Hospitalization to Traditional Chinese Medical Ward for combined acupuncture, Chinese herbal therapy, and conventional rehabiliation treatment benefits stroke and traumatic brain injury patients.
期刊論文
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2.唐遠雲、林建雄、游東陽、楊建中、薛宏昇、李科宏、羅明江、賴佳君(20100700)。腦中風患者針灸推拿結合復健之臨床療效評估。中醫藥雜誌,21(1/2),53-61。new window  延伸查詢new window
3.Lozano, R.、Naghavi, M.、Foreman, K.、Lim, S.、Shibuya, K.、Aboyans, V.、AlMazroa, M. A.(2012)。Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010。Lancet,380(9859),2095-2128。  new window
4.Murray, C. J.、Vos, T.、Lozano, R.(2012)。Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010。Lancet,380,2197-2223。  new window
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7.Duffy, L.、Gajree, S.、Langhorne, P.、Stott, D. J.、Quinn, T. J.(2013)。Reliability (inter-rater agreement) of the Barthel Index for assessment of stroke survivors: systematic review and meta-analysis。Stroke,44,462-468。  new window
8.Duncan, P. W.、Samsa, G. P.、Weinberger, M.、Gold-stein, L. B.、Bonito, A.、Witter, D. M.、Enarson, C.、Matchar, D.(1997)。Health status of individuals with mild stroke。Stroke,28,740-745。  new window
9.Feigin, V. L.、Forouzanfar, M. H.、Krishnamurthi, R.、Mensah, G. A.、Connor, M.、Bennett, D. A.、Murray, C.(2014)。Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010。Lancet,383(9913),245-254。  new window
10.Quinn, T.-J.、Langhorne, P.、Stott, D.-J.(2011)。Barthel index for stroke trials: development, properties, and application。Stroke,42(4),1146-1151。  new window
11.Kasner, S. E.(2006)。Clinical interpretation and use of stroke scales。Lancet Neurol.,5,603-612。  new window
12.The Multi-Society Task Force on PVS(1994)。Medical aspects of the persistent vegetative state。N. Engl. J. Med.,330,1572-1579。  new window
13.謝逸雯、陳星諭、楊建中(2012)。中醫住院病房中腦中風病患需要緊急醫療服務的危險因素。中醫藥雜誌,23,133-140。new window  延伸查詢new window
14.劉耕豪、黃悅翔、李宗海、陳星諭、劉祥仁、張寓智、張健宏、陳玉昇(20131200)。針灸輔助治療對亞急性期腦中風患者之療效評估:回溯性研究。中醫藥雜誌,24(2),251-259。new window  延伸查詢new window
研究報告
1.(2014)。103年度死因統計。衛生福利部統計處。  延伸查詢new window
 
 
 
 
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