Early intervention combining Chinese and Western medicine in traumatic brain injury with diffuse axonal injury : A report of three cases

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BACKGROUND: 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.

CASE SUMMARIES: Three patients had TBI after traffic accidents. Their Glasgow Coma Scale (GCS) scores in the intensive care unit (ICU) were E1VEM2-3, E1VEM2-3, and E1VEM2 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 E4M5V6.

CONCLUSIONS: The early addition of traditional Chinese medicine treatments to Western medical care can improve the prognosis of patients with diffuse axonal injury.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

Journal of traditional and complementary medicine - 10(2020), 5 vom: 16. Sept., Seite 504-510

Sprache:

Englisch

Beteiligte Personen:

Wu, Shuenn-Yun [VerfasserIn]
Wen, Ko-Ying [VerfasserIn]
Chou, Han-Chin [VerfasserIn]
Chiu, Shang-Ming [VerfasserIn]
Hou, Yu-Chang [VerfasserIn]
Chang, Yuan-Yi [VerfasserIn]

Links:

Volltext

Themen:

BHD, Buyang Huanwu Decoction
DAI, Diffuse axonal injury
Diffuse axonal injury
GCS, Glasgow Coma Scale
ICU, intensive care unit
Journal Article
MRI, magnetic resonance imaging
TBI, Traumatic brain injury
TGD, Tianma Gouteng Decoction
Traditional Chinese medicine
Traumatic brain injury

Anmerkungen:

Date Revised 17.04.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.jtcme.2020.02.012

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315249064