中西医结合抢救26例重症肌无力危象  

Combined Treatment of Traditional Chinese Medicine and Western Medicine for Myasthenia Gravis Crisis: A Report of 26 Cases

作　　者：邓铁涛[1] 刘友章[2] 刘小斌[1] 

机构地区：[1]广州中医药大学,广州510405 [2]广州中医药大学第一附属医院,广州510405

出　　处：《广州中医药大学学报》2004年第5期344-348,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广州中医药大学总体规划重点课题(编号:99001)

摘　　要：【目的】 探讨重症肌无力危象中西医结合抢救方案。【方法】 中医鼻饲或口服自行研制的强肌健力系列中药和力衡全临床营养膳,静脉滴注黄芪注射液,并加强中医护理;西药使用半量类固醇激素和抗胆碱酯酶药,合理选用抗生素等,临床对26例患者进行抢救,并与近期公开发表的相关文献作疗效对照。【结果】 26例患者全部临床痊愈出院。随访1年以上,除4例患者死亡外,其余22例均健在。【结论】 中西医结合抢救方案能够以较低的医疗费用取得较好的临床疗效。【Objective】 To establish an effective regimen for the treatment of myasthenia gravis crisis (MGC). 【Methods】 Twenty-six cases of MGC were enrolled into the study. They were given spleen-invigorating and musclestrengthening Qiangji Jianli decoction, which were self-prescribed, by oral administration or nasal feeding, as well as Lihengquan nutrient diet, intravenous drip of Huangqi injection and traditional Chinese nursing. The cases were also treated with western medicine such as half-dose steroid hormone, anticholinergic and antibiotics. The therapeutic effect was compared with that reported in currently published literature. 【Results】 Twenty-six cases were all clinically cured. The results of over-one-year follow-up showed that 4 cases were dead and the rest still survived. 【Conclusion】 The regimen of traditional Chinese medicine integrated with western medicine is economic and effective in the treatment of MGC.

关 键 词：重症肌无力/中西医结合疗法 强肌健力饮/治疗应用 

分 类 号：R746.1[医药卫生—神经病学与精神病学]