以周围性面瘫起病的急性脑桥梗死(伴三高危险因素)1例病例报告
Peripheral Facial Paralysis Caused by Acute Pontine Infarction: A Case Report
扫 描 看 全 文
1.北京市平谷区中医医院针灸科,北京 100210
扫 描 看 全 文
于川, 王珺, 徐林林. 以周围性面瘫起病的急性脑桥梗死(伴三高危险因素)1例病例报告[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200348&Fpath=home&index=0
YU Chuan, WANG Jun, XU Linlin. Peripheral Facial Paralysis Caused by Acute Pontine Infarction: A Case Report[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200348&Fpath=home&index=0
于川, 王珺, 徐林林. 以周围性面瘫起病的急性脑桥梗死(伴三高危险因素)1例病例报告[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200348&Fpath=home&index=0 DOI:
YU Chuan, WANG Jun, XU Linlin. Peripheral Facial Paralysis Caused by Acute Pontine Infarction: A Case Report[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200348&Fpath=home&index=0 DOI:
病史摘要,2,患者张某,男,73岁。主因“右侧口眼歪斜5天”就诊。患者5天前无明显诱因,突然出现右侧眼闭合不全,口角歪斜向左侧,故来我院门诊求治,查头CT:右侧岛叶腔梗可能,必要时MRI。为进一步系统治疗,收入我病区。中医病证:右侧眼睑闭合不全,口角歪向左侧,鼓腮漏气,枕部时有牵扯痛,时有头晕,视物重影,时有饮水呛咳。纳可,眠安,二便调。四诊信息:神识清,形体中等;语声清晰,呼吸匀称,无异常气味闻及;舌质暗,苔白,脉弦滑。中医诊断 缺血性中风病 中经络 肝肾阴虚、痰瘀阻络西医诊断 脑梗死(脑桥)干预措施 西医予口服抗血小板聚集、降脂稳定斑块、降糖药物,静点活血化瘀,改善脑循环药物为主。中医以祛风化痰通络为治则。体针取穴:阳白(右侧)、颧髎(右侧)、下关(右侧)、地仓(右侧)、颊车(右侧)、翳风(右侧)、合谷(双侧)、太冲(双侧),常规针刺,平补平泻。眼针取穴:上焦区(右侧)、肝区(右侧)、脾区(右侧),采用点刺法。中药以予化痰通络汤合牵正散加减。疗效转归 疗效评定显效。
Summary of case history,TCM diagnosis, ischemic stroke - liver and kidney yin deficiency, phlegm and blood stasis blocking collaterals,Western medicine diagnosis, pontine infarction,Therapeutic methods, Western medicine mainly gives oral anti platelet aggregation, lipid-lowering and stabilizing plaque, hypoglycemic drugs, and drugs for promoting blood circulation and removing blood stasis and improving cerebral circulation. In traditional Chinese medicine, the treatment principle is to dispel wind, phlegm and dredge collaterals. Point selection of body acupuncture: Yangbai (right side), Qiliao (right side), Xiaguan (right side), Dicang (right side), Buche (right side), Yifeng (right side), Hegu (both sides), Taichong (both sides), regular acupuncture, flat reinforcing and flat purging. Point selection of eye acupuncture: upper focus area (right side), liver area (right side), spleen area (right side), using the pricking method. The traditional Chinese medicine is Huatan Tongluo Decoction and Qianzheng Powder.,Clinical outcomes, The curative effect evaluation is remarkable. Turn for the better.
周围性面瘫脑桥脑梗死病例报告
peripheral facial paralysispontine infarctioncase report
Zhang C, Wang Y, Zhao X, et al. Diatal single subcortical infarction had a better clinical outcome compared with proximal singal subcortical infarction[J]. Stroke,2014,45(9):2613-2619.
国家中医药管理局医政局.中医病证诊断疗效标准[M].北京:中国中医药出版社,2013: 39.
彭斌,吴波.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-682.
王小兰.针刺阳陵泉太冲穴为主治疗周围性面瘫106例[J].针灸临床杂志,,2000(10).
Nakase T ,Yoshioka S ,Sasaki M ,et al .Clinical evaluation of lacunar infarction and branch atheromatons disease[J].J Stroke Cerebrovasc Dis,2013,22(4):406-412.
于晓华,吴富东."面合谷收"的机制研究概况[J].针刺研究,2011,36(5):388 -389.
李晓陵,关昕,姚家琪,等.基于fMRI针刺太白、太冲单穴脑激活区对比研究[J].中医药信息,2020,37(3):63-66.
赵言,张威.眼针治疗周围性面瘫近十年的研究进展[J].实用中医内科杂志2022,36(6):89-92.
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构