中医药治疗杜氏肌营养不良体会
Traditional Chinese Medicine for the Treatment of Duchenne Muscular Dystrophy
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1.北京市丰台区宛平社区卫生服务中心中医科,北京 100165
2.中国中医科学院 广安门医院心血管科,北京 100053
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孟醒, 熊兴江. 中医药治疗杜氏肌营养不良体会[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29503282&Fpath=home&index=0
MENG Xing, XIONG Xingjiang. Traditional Chinese Medicine for the Treatment of Duchenne Muscular Dystrophy[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29503282&Fpath=home&index=0
孟醒, 熊兴江. 中医药治疗杜氏肌营养不良体会[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29503282&Fpath=home&index=0 DOI:
MENG Xing, XIONG Xingjiang. Traditional Chinese Medicine for the Treatment of Duchenne Muscular Dystrophy[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29503282&Fpath=home&index=0 DOI:
病史摘要,2,患儿男,7岁,外感高烧后出现双下肢无力,行走障碍,在当地三甲医院系统检查后确诊杜氏肌营养不良。口服醋酸泼尼松龙片、碳酸钙D3片等治疗后未见改善,给予中医药治疗后,逐渐停减激素,下肢肌力明显改善。中医诊断 中风 风寒外袭、经络瘀阻证。西医诊断 杜氏肌营养不良。干预措施 在激素治疗同时中医采用祛风散寒、活血通络治疗。疗效转归 临床症状明显改善,激素从3.75片(5 mg/片)经中药治疗10周,减为1片。肌酶指标CK由>16000 U/L降至>13265 U/L、CKMB由522 U/L降至331 U/L、LDH由1819 U/L降至1367 U/L。
Summary of case history ,The boy, 7 years old, was diagnosed with Duchenne muscular dystrophy and vitamin D deficiency after systemic examination due to weakness of lower limbs and walking disorder caused by external high fever.After oral treatment with prednisolone acetate tablets and calcium carbonate D3 tablets, significant improvement was still observed. After treatment with Traditional Chinese medicine, the steroid was reduced, the symptoms of lower limbs were improved.,TCM diagnosis ,Stroke, External assault by wind-cold and meridian stasis syndrome.,Western medicine diagnosis ,Duchenne muscular dystrophy.,Therapeutic methods, Dispels wind and cold ,activate blood and dissolve stasis therapy is used by TCM, at the same time use steroid therapy.,Clinical outcomes ,The clinical symptoms of the children were significantly improved, the steroid was reduced from 3.75 tablets (5 mg/tablet) to 1 tablet after 10 weeks of treatment with traditional Chinese medicine, and the indexes of myocardial enzymes were improved,CK decreased from>16000U/L to>13265U/L、CKMB decreased from 522U/L to 331U/L、LDH decreased from 1819U/L to 1367U/L.
中医药杜氏肌营养不良
Traditional Chinese medicineDuchenne muscular dystrophy
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