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      河南中醫學院第一附屬醫院

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      科室介紹

      腦病醫院介紹

      河南中醫藥大學第一附屬醫院腦病科是國家中醫藥管理局重點專科、國家臨床重點專科(中醫專業)建設單位、國家中醫藥管理局重點學科建設單位,并且是國家中醫藥管理局腦病重點專科組長單位及優勢病種眩暈協作分組組長單位,河南省中醫介入診療技術培訓基地。同時,是河南省重點專科、河南省中醫名科、河南省中醫腦病專業主任委員單位、河南省中西醫結合神經內科專業主任委員單位、河南省中西醫結合眩暈病專業主任委員單位、鄭州市中醫藥學會腦病專業主任委員單位。是河南中醫學院中醫內科學博士、碩士和中西醫結合神經內科碩士研究生學位授予點。

      腦病科集醫療、教學和科研為一體,下設腦血管病急診綠色通道、卒中單元及神經內科、腦外科、介入、康復等科室。擁有全國名老中醫藥專家4人、享受國務院特殊津貼1人、國家二級教授2人、河南省優秀專家3人、首屆河南省名中醫3人、博士研究生導師6人、碩士研究生導師13人、博士后2人、醫學博士7人、醫學碩士24人。現設立全國名老中醫藥專家研究室1個,河南中醫學院中風病研究所、眩暈病研究所、中西醫結合帕金森病研究所及痿證研究所各1個。設腦病一、二、三、四和腦病介入等5個病區,開設床位217張,設立中風、眩暈、帕金森病、多發性硬化、癲癇、癡呆、失眠等專科門診10個。年門診量近5萬人次,收治病人5000余人次。已成為國內具有較大影響力的腦病診療中心及學術研究中心。

      腦病科技術力量雄厚,醫療設備先進。多年來,注重新設備、新技術的引進和開發,運用雙源CT、核磁共振、腦血管造影、神經電生理儀、吞咽言語診療儀等先進設備,有效提高腦血管疾病的診斷率和搶救成功率。在治療中,注重發揮中醫特色和優勢,采用中西醫結合方法治療急、慢性腦血管病、眩暈、帕金森病、多發性硬化、運動神經元病、癲癇、癡呆、失眠等疾病,療效居國內領先水平。開發研制出適用于各類腦血管病急性期、恢復期的中藥特色制劑十多種,尤其是中風星蔞通腑膠囊、中風七蟲益髓膠囊、通脈舒絡膠囊、通絡解語丸、復智膠囊、中風龜羚熄風膠囊在臨床具有顯著療效。在中風后遺癥的康復方面的采用中藥內服、膏藥外用、針灸推拿、功能訓練中醫綜合手段治療收到理想的臨床效果。

      經驗豐富的專家隊伍,獨具特色的治療手段,先進的醫療設備,為腦病科創新和發展奠定了堅實的基礎。近年來,主持參加國家973、863、重大新藥創制、自然基金、十一五、行業專項及省部級創新人才、杰出青年基金、重大科技攻關等科研項目20余項。研究成果獲中華中醫藥學會科技一等獎2項、河南省科技進步二等獎8項,獲國家發明專利3項,出版專著20余部,發表論文500余篇。

      【腦病一區】

      優勢病種:中風病(腦梗死、腦出血),以及中風后系列病癥如失語、吞咽困難、肢體疼痛麻木腫脹等。以及頭痛、眩暈、癡呆、帕金森病、焦慮、抑郁、失眠等。

      腦病一區主要特色治療方法介紹
      特色治療之一——中風失語癥優化治療 

      中風失語癥是中風患者主癥之一,不僅影響其溝通和交流,難于表達思想和病情,也影響中風偏癱、智能障礙的恢復,因此重視和恢復中風患者語言功能至關重要,科內的中風失語癥治療團隊經多年臨床研究,形成了一套不斷優化綜合有效的治療方法。李燕梅教授主持的河南省重點科技攻關項目“中風回言膠囊治療中風失語的療效及作用機理的研究”及“中醫藥綜合方案對中風失語干預的臨床研究”課題獲得河南省技術進步二等獎。在對中風失語癥患者進行分類、分期基礎上,采用利竅回言、化痰除濕、活血通瘀中藥及針灸、頭皮針、刺絡放血、德國進口言語治療儀和一對一小組訓練相結合的訓練方法,使中風失語癥患者獲得新“聲”。

      特色治療之二——顱內血腫微創清除術有效治療腦出血

      無論是高血壓性腦出血,還是外傷性顱內血腫、動脈瘤及其他腦血管畸型引起的顱內血腫均有較高的致死率、致殘率。 
      顱內血腫微創清除術治療腦出血,是神經科領域一項高科技科研成果,手術采用外徑只有3mm的一次性顱內血腫穿刺針,于CT掃描后在病房床邊即可進行,方法簡便易行,30分鐘左右即可完成操作,并且可在與患者交流的同時完成手術。其創傷小,痛苦少,避免了全麻開顱手術創傷大、持續時間長以及氣管插管、上麻醉機的弊端。減少了各種因手術、麻醉而產生的附加風險,同時也大大減少了患者住院費用。在王新志教授帶領下我們腦病一區率先在全省引進開展了此項技術,該方法已在臨床應用數十年,配合應用科室研制的中風病系列中成藥,使大批患者擺脫了昏迷、偏癱、失語甚至死亡的威脅,重新回歸社會和家庭。王新志主任醫師還指導全省數十家醫院成功引進開展了該技術;因而該項目成果,他獲得了河南省衛生廳新技術新項目引進開展二等獎。

      特色治療之三——吞咽困難的特效治療 

      臨床上引起吞咽功能障礙的原因有很多,如腦卒中、帕金森氏病、重癥肌無力、肌萎縮側索硬化等,其中以中風后的吞咽障礙最常見。吞咽困難嚴重影響患者的營養攝入及口服藥物應用,其飲水嗆咳常導致吸入性肺炎,嚴重影響了患者病情的恢復,延長住院時間,增加醫療費用,甚至可直接導致患者的死亡。我科室經多年臨床研究,采用非同與一般的傳統的穴位“阿嗆穴”針刺,而直中病所,使舌咽、迷走和舌下神經恢復功能,促使局部環咽肌、咽提肌、咽縮肌恢復正常的吞咽功能。另配合開竅利咽棒以及德國進口且目前在歐美國家廣泛應用的德國費茲曼公司Vocastim-Master吞咽治療儀,中西合璧,療效理想。

      特色治療之四——中風后肢體腫脹、疼痛、麻木的治療 

      中風后肢體腫脹、疼痛、麻木、孿急、僵硬是中風病的常見并發癥,多見于偏癱側的上下肢,它嚴重影響患者的肢體功能康復鍛煉,拖延患者重返社會的時間,帶給患者無盡的痛苦。對此我科經過多年研究發明了獨具特色的外用藥物冰紅搽劑,并在此基礎上配合磁熱療法、星狀神經節阻滯療法、特色針刺治療及中藥硬膏貼敷治療,臨床收到了較好的療效,加快了偏癱側肢體功能恢復,縮短了重返社會和家庭的時間。

      特色治療之五——帕金森病的早期干預治療 

      帕金森病是中老年人常見病,具有病情逐漸進展,致殘率高的特點,主要表現為靜止性震顫,肌強直,運動遲緩,姿勢步態異常等運動癥狀及認知功能損害、神經精神癥狀、自主神經功能失調、睡眠障礙、大小便障礙等非運動癥狀。應當早期診斷、干預治療非運動癥狀,不但改善患者生活質量,也有利于震顫等運動癥狀的緩解。我科對帕金森病早期診斷有著豐富經驗,并對非運動癥狀進行中醫藥辨證治療,綜合療法,因人施治,治病求本,根據不同的證型有效的干預、阻止、延緩和減少美多巴副作用的發生。

      【腦病二區】

      中風病診療特色——在我國,缺血性卒中是卒中的主要類型,約占卒中總發病率的70%~75%。隨著人口老齡化好各種危險因素(高血壓、糖尿病、心血管疾病等)的增加, 缺血性卒中發病率逐年升高。由于缺血性卒中的發生率和復發率遠高于出血性卒中,因此,預防和治療缺血性卒中是卒中防治的重點之一。

      目前,國內外越來越多的報道指出缺血性早期治療的重要性,因為及時治療可以防治疾病進展,減輕神經功能損傷,改善患者預后。缺血性卒中急性期治療一直是國內外研究的熱點,但是由于群眾健康理念基礎薄弱、溶栓時間窗過短而不易把握、醫務人員認識水平受限等原因,從而使眾多應該接受溶栓治療的患者沒有能夠獲得相應救治而遺難以康復的肢體病殘,甚至直接導致死亡。

      我科室從建立“急性腦中風綠色通道”入手,對于缺血性卒中急性期患者在入院后1小時內就對其進行“臨床初步評估—建立患者靜脈通路—完善頭顱影像學及血液生化檢查—臨床進一步評估并完善診療方案”的系統搶救流程,結合近年來我科室引進的急性腦梗塞超早期動脈溶栓術、頸動脈狹窄后支架置入術等新技術,及時并有針對性的制訂出動靜脈溶栓方案,從而最大限度的搶救患者病情,獲得最佳療效。對于恢復期患者,我病區教授、專家以中醫理論為指導,采取中醫辨證及西醫辨病的原則,集多年臨證之經驗,納歷代醫家之精華,反復實踐,攻關創新,研制出中風“七癥”協定處方,把通絡作為中經絡治法之綱領,統領“祛痰、瀉濁、鎮肝、益氣、養陰”諸法,以“醒神、滌痰” 作為中臟腑的具體治法,探索出治療中風病系列方藥——祛痰通絡湯、鎮肝通絡湯、醒神開竅湯、滌痰開竅湯、益氣通絡湯等,豐富和發展了中風病的治療方法,大大提高了中風病人的治愈好轉率,降低了致殘率和死亡率,減少了復發率。同時,在治療上突出中西醫結合療法的特色,采用醒腦開竅、活血利水、通腑泄濁、通絡解毒、益氣復脈等多種療法,配合針灸、中頻脈沖、腦功能刺激儀等對患者進行康復功能鍛煉,取得明顯臨床療效。

      另外,腦出血作為急性腦血管疾病的另一大類急危重癥,我國每年因為腦出血死亡的患者約占全部疾病死亡的20%左右,嚴重威脅人們的健康。根據有關流行病學調查,我國北方腦出血的發病率高于南方,男性高于女性,近年來由于生活水平的逐漸提高,高血壓、糖尿病、高血脂等臨床疾病的逐漸多發,腦出血的發生率也相應逐年提高。我科室近年來開展了腦出血顱內血腫微創穿刺引流術、動脈瘤支架栓塞術等新技術,極大降低了患者的治病風險,避免了外科手術開顱可能造成的腦創傷,明顯提高了患者的治愈好轉率。

      對于腦卒中恢復期的患者,我科室在國家級名老中醫鄭紹周教授及馬云枝教授的指導下,突出中醫特色,以“前期多用芳香開竅, 清心通腦之法;中期多用柔肝潛陽,疏通經絡之法;痊愈恢復期始適度用滋陰助氣、活血補血之法”為臨床診療思路,內外合治,中西合參,創制中風1號至5號系列外敷方,結合我科“祛痰、瀉濁、鎮肝、益氣、養陰”功效的中風“七癥”協定處方,極大改善了患者中風后肢體偏癱、腫脹、疼痛、麻木、頭暈、失眠等癥狀,有效預防了本病的復發,取得了明顯優于西醫治療的療效,獲得良好的社會口碑和經濟效益。    

      除上述以外,科室建設遵從“臨床與科研并舉,技術引進與人才培養并重”的發展思路。在多年研究工作基礎上,總結名老中醫經驗,針對氣虛血瘀型中風患者研制出的通脈舒絡膠囊,針對中風病急性期的發病機理研制出的利水通絡沖劑,經十余年臨床應用,療效確切。從上世紀1998年始,相關研究課題就先后獲得河南省科技廳科技攻關計劃立項資助,曾榮獲河南省科技成果一等獎3項及河南省政府科技進步二等獎3項,確立了我科在河南省中西醫防治腦卒中研究領域的排頭兵地位。

      癡呆診療特色——癡呆是指在患者意識清醒的狀態下,由于后天種種有害因素,致使幼年至成年時期發育正常的大腦細胞大量地破壞,造成大腦器質性損害時所發生的一種慢性進行性加重的嚴重智能障礙綜合征。患者往往做出錯誤的判斷和推理,學習和工作困難,有時生活也不能自理。癡呆在臨床可由60多種疾病所致,其中最常見的是老年性癡呆(AD)占60%左右,其次為血管性癡呆(VaD)占10%~20%,腦部占位性病變,特別是額顳腫瘤占4%~5%。由于該類疾病是使中老年人致殘的三大疾病之一,現已被稱為“二十一世紀的瘟疫”。

      從上世紀90年代以來,我科室就開展了癡呆防治研究工作,尤其是以血管性癡呆為研究突破口,開展了多項研究,取得了豐碩的成果。血管性癡呆(VD)是指由于缺血性卒中、出血性卒中和慢性腦缺血缺氧等原因所致的嚴重智能損害綜合征。針對血管性癡呆的病因病機,宮洪濤主任率先提出“腎精虧虛之本”的學說,指出該病病位在腦,髓海為要;病本在腎,精虧濁毒為患的學術新觀點,在國家級和省級醫學核心期刊發表學術論文20余篇。總結馬云枝教授多年臨床經驗,采用現代中藥制劑工藝研制的“復智膠囊”,經十余年臨床驗證,發現該藥可明顯改善患者記憶力減退、反應遲鈍等癥狀,療效確切而無明顯藥物不良反應。復智膠囊相關課題2006年獲河南省科技進步二等獎,河南省科技成果一等獎。

      由宮洪濤主任主持研究的課題“基于tau蛋白的變化探討中藥干預血管性癡呆的機制”獲2008年河南省高校創新人才項目資助,2013年獲河南省教育廳科技進步一等獎。近年來,科室積極引進新技術新方法,提高了癡呆的早期診斷水平,提高了治愈好轉率。在省內率先采用ELISA法檢測尿中氧化應激標志物8-羥基脫氧鳥苷(8-OHdG)、8-異前列腺素(8-isoPGF2α)以及硝基酪氨酸(NT)水平,進一步確診該病,較之原先診斷技術是一個巨大飛躍。

      另外,針對不同年齡人群的患者,我們采取了不同年齡段及病情分期分病種不同的采取個體化治療方案。如對中青年以及學齡期的兒童,以開發智能為目的,突出中醫中藥綠色無毒的特色,治療上對于青少年及學齡期兒童以補腎消食開竅為主,中青年以活血化痰,醒神開竅為主,老年期以補腎填髓,化瘀通絡為主,配合針灸、中藥穴位貼敷、中頻脈沖、腦功能刺激儀及康復功能鍛煉等對患者進行綜合治療,明顯提高了臨床療效,獲得良好社會反響及社會效益。近年來,多次被都市頻道、鄭州人民廣播電臺、大河報、鄭州晚報等權威媒體報道。

      帕金森病診療特色——帕金森病是一種中老年人常見的神經系統變性疾病,平均發病年齡為60歲左右,40歲以下起病的青年帕金森病較少見。流行病學調查顯示:65歲以上人群患病率為1.7%,80歲以上發病率達2%,我國現有帕金森病患者約600-700萬人,約半數病人在5~8年后喪失生活能力,自然病程僅約14年,預計今后20年中國帕金森病發病率將增長20倍之余,患病率隨年齡增長而逐年升高,是中老年人致殘的三大疾病之一。其致殘率高,治愈率低,年治療費逾萬元,給病人身心造成極大痛苦的同時,也給家庭及社會帶來極大的經濟負擔。帕金森病發病原因不明,最主要的病理改變是中腦黑質多巴胺能神經元的變性死亡,遺傳因素、環境因素、年齡老化、氧化應激等均可能參與PD多巴胺能神經元的變性死亡過程。目前,被視為二十一世紀神經科學研究領域的熱點之一。

      自上世紀我科室就開始對本病的深入研究,由本科室研制的帕金森病治療藥物“熄風定顫丸”系根據名老中醫馬云枝教授的經驗方研制而成,經多年臨床驗證,發現具有明顯的增效、減毒作用。實驗室研究發現,熄風定顫丸可對帕金森大鼠模型紋狀體多巴胺(DA)代謝具有良性調節作用,使紋狀體DA代謝下調,對紋狀體細胞具有保護作用,且可提高DA及代謝產物雙羥苯乙酸(DOPAC)和高香草酸(HVA)的含量,避免美多巴在體內過多蓄積而發生的“生物耐受”現象,降低了美多巴的毒副作用。臨床上與西藥聯用,可明顯緩解患者便秘、腰膝酸軟、便秘、頭暈、抑郁、失眠等非運動癥狀,提高生存質量,為眾多患者緩解了病痛的困擾。市場調查發現,熄風定顫丸藥源豐富,所制丸劑攜帶方便,療效確切,并能提高患者依從性,與國內同類藥品相比具有價廉效優特點。相關課題“熄風震顫丸與美多芭聯用治療帕金森病增效減毒作用機理的研究”獲2005年河南省科技進步二等獎,中標2008年國家中醫藥行業專項重大課題。2009年,我科室承擔的的“河南中醫學院中西醫結合帕金森病研究所”作為河南省內首個帕金森病專科研究機構掛牌成立,同時創建了河南省首個帕金森病專業網站“中醫帕金森網”(http://www.zypjs.com/),為眾多患者答疑解惑,創造了巨大的社會和經濟效益。經過十余年的不懈努力,科室在這一研究領域取得的成績標志著我單位的中西醫結合防治帕金森病研究水平己經走在了全國同行的前列。   

      癲癇診療特色——癲癇即俗稱的“羊角風”或“羊癲風”,是大腦神經元突發性異常放電,導致短暫的大腦功能障礙的一種慢性疾病。在臨床上主要表現為突然意識喪失,四肢抽搐、口吐涎沫或口中怪叫,蘇醒時一如常人。該病可見于各個年齡段。兒童癲癇發病率較成人高,隨著年齡的增長,癲癇發病率有所降低,進入老年期(60歲以后)由于腦血管病、老年癡呆和神經系統退行性病變增多,癲癇發病率又見上升。根據中國最新流行病學資料顯示,我國現有癲癇患者約900萬,其中500~600萬是活動性癲癇患者,同時每年新增患者約40萬,現已經成為我國在神經科僅次于頭痛的第二大常見病,極大威脅著人們的生存健康。

      癲癇病做為一種慢性疾病,雖然短期內對患者沒有多大的影響,但是長期頻繁的發作可導致患者的身心、智力產生嚴重影響。引起該病的病因多種多樣,發病機制非常復雜。臨床上經正規的抗癲癇藥物治療,約70%的患者其發作是可以得到控制的,其中50%~60%的患者經2~5年的治療可以痊愈,患者可以和正常人一樣地工作和生活。但是,由于抗癲癇藥絕大部分都有中樞系統的反應,長期應用致使不少孩子出現頭暈、困倦、多動、智能下降等副作用,而且停藥后易復發,所以本病也成為臨床神經科常見的疑難頑癥之一。我科室科研團隊,總結名老中醫數十年臨床經驗,認為本病的發生是因先天稟賦不足、勞累、生氣、傷食等原因,致使風、火、痰、瘀為患,導致心、肝、脾、腎等臟氣失調,肝腎陰虛,陰虛陽亢,陽亢風動,挾痰濁瘀血上擾清竅乃發病。因此,在治療上充分發揮中醫藥治病優勢,采用中西醫結合的方法,對于癲癇大發作采用中西醫結合,對于小發作采用純中藥的方法,研制出癇癥1至5號方,在急性發作期以豁痰熄風、開竅定癇治療為主,恢復期以健脾化痰、補益肝腎、養心安神為主,大大提高了臨床療效,減少了西藥用量,并且不影響患者的智力,同時由于藥物副作用小而利于長期服藥,明顯降低了癲癇復發率,受到廣大患者的歡迎。尤其是對青少年癲癇患者,采用中小藥量謹慎用藥,既適合這一年齡段的生理特點,又降低了藥物不良反應率,提高了青少年人群的治愈好轉率。

      面癱診療特色——面癱又稱為面神經炎、貝爾氏麻痹,亨特綜合癥,俗稱 “歪嘴巴”、“歪歪嘴”、“吊線風”,是以面部表情肌群運動功能障礙為主要特征的一種常見病,一般癥狀是口眼歪斜,它不受年齡限制,常見于于青壯年人。多由于機體抵抗力下降,受風寒等誘因刺激,致使病毒入侵及機體自身免疫炎性反應,導致面神經急性非化膿性炎癥所致,給患者的生活帶來很大的痛苦和不便。現代醫學多采用抗病毒、激素、維生素及神經營養劑等藥物聯合治療,毒副作用大而且臨床療效欠佳,使眾多患者錯失治療良機轉變成頑固性面癱而困擾終身。

      該病自古以來被中醫家所認識,從《黃帝內經》開始數千年的中醫學寶庫中多有記載,認為本病多是由經絡空虛,風邪入中,痰濁瘀血痹阻經絡,筋脈失養所致,并總結了眾多前人的經驗。我科室整理收集國家級名老中醫鄭紹周教授及馬云枝教授兩位老專家數十年的經驗方,挖掘歷代醫家及中醫典籍中的近300個名方驗方,以“急性期疏風通絡為主,恢復期活血化瘀為主,后遺癥期養血除風”為治病總綱,總結出“面癱論治八法”。不僅有面癱治療系列方藥,而且根據中醫內病外治的理論研制而成“牽正膏”,并結合結合針刺、艾灸、理療等法以通經活絡,使神經肌肉傳導恢復,明顯改善了患者面肌的麻痹狀態。對于重癥及疑難頑固型面癱病人,采用中西醫結合綜合療法,中西并重,內外結合,明顯優于單用一種療法的臨床療效,取得了顯著的社會效益和經濟效益。

      中風后肩手綜合征診療特色——中風是具有患病率高、發病率高、致殘率高、治愈率低的特點,是主要的死亡和致殘原因,嚴重危害人民健康和生命,中風后偏癱測肢體因會產生肩手綜合征,臨床表現為患手突然浮腫疼痛及肩關節疼痛,并使肩和手功能受限。因疼痛較重并發孿縮,因疼痛影響患者進行肢體康復。針對這種情況,我科采用內外結合的方法,中藥運用活血利水通絡止痛之劑,外用冰紅擦劑涂擦,同時運用穴位注射、康復理療、針灸、PPD等進行綜合治療,療效顯著。

      失語診療特色——中風發病率高,在各種類型中風中,約18%的病人存在失語,并出現飲水嗆咳、吞咽困難、構音障礙等,影響患者與他人交流,嚴重影響患者生存質量。我科室總結多年臨床經驗,認為本病病位在腦,但與肺和腎的功能密切有關,治療上突出從實從虛兩個方面進行治療。從肺論治,注重“金實不明”和“金虛不鳴”,金虛不鳴是指中風導致肺氣虛后出現的失音或者變音,金實不鳴是中風后肺氣被郁扼致使肺氣不宣而出現的失音或者變音,根據名老中醫經驗,總結出“宣肺解語湯”、“補肺醒神湯”等系列方藥,療效確切;從腎論治,主要是腎精虧虛和痰濕阻滯病機為主,取得滿意療效。同時,立足于國家中醫藥管理局重點專科、河南省中醫名科及河南省重點專科的專科技術優勢,采取“中西相長、中西并重、內外結合”的特色綜合治療本病,在語言康復訓練的基礎上,針對頑固性失語的患者,運用針灸辨證取穴,中藥穴位貼敷,開竅利咽棒進行吞咽功能訓練和言語功能訓練等綜合治療方法,臨床療效明顯。 

      【腦病三區】

      經過幾代人數十年的探索,科室形成了以中西醫藥物、針灸、康復等多種療法相結合治療腦血管病(中風)、癡呆、帕金森病、多發性硬化、運動神經元病、重癥肌無力、格林巴利綜合征、腦炎、多發性神經炎、面神經麻痹、面肌痙攣、三叉神經痛、癲癇、脊髓炎、眩暈、頭痛、失眠等多種疾病,療效居國內領先水平。以王寶亮教授為學術帶頭人的科研隊伍,根據中風病的病機特點,研制出針對中風病不同病機特點的“參芪通絡膠囊”、“龜羚熄風膠囊”、“皂貝化痰膠囊”等,使腦中風患者的療效得到顯著的提高。近幾年來科室又成功開展了“微創治療腦出血”、“分期治療腦梗塞”、“針藥并用治療假性球麻痹”、“針藥并用治療中風后高肌張力” 、“支架置入術治療頸動脈狹窄”、“介入溶栓術治療急性腦梗死”、“ 腦動脈瘤介入治療”等新技術,及針灸“醒腦開竅法”、“開竅利咽棒”治療中風后假性球麻痹,體針療法、頭針療法、顳三針療法、腹針療法等綜合療法治療中風后二便障礙等特色療法,同時配合中醫藥及系列中成藥辨證論治,取得了較好的臨床效果。使無數中風病人重獲新生。在河南省率先成立了河南中醫學院神經脫髓鞘疾病及變性疾病(痿證)研究所,運用“腎軸瘀血”理論指導多發性硬化的臨床診療,急性期補腎活瘀解毒配合激素沖擊快速緩解癥狀,緩解期滋腎活瘀為主配合辨證論治預防復發。診治運動神經元病從腎虛飲停、奇經虛損著手,辨病分期、辨證分型,因證施方,針藥并用,藥食相彰。在多發性硬化、運動神經元病的治療上取得了很好的臨床療效 。      

      “發揮中醫優勢,突出中醫特色”是腦病三區多年以來所堅持的治病理念,在科主任王寶亮教授帶領下,在科室全體成員共同的努力下,為人類的健康和社會的發展做出更大的貢獻。

      【腦病四區】

      該病區牽頭成立了眩暈病診療中心,并聯合鄭大一附院、鄭大二附院、省人民醫院、省中醫院等單位的神經內科、耳鼻喉科、骨科、心理科、康復科、影像科、內科等專業,組成強大的臨床診療團隊,為眾多的眩暈患者提供更好的服務。該研究團隊下設腦源性眩暈病研究室、頸源性眩暈病研究室、耳源性眩暈病研究室和較大規模的臨床基地。建立了眩暈檢查室和治療室,擁有前庭肌源性誘發電位檢測儀、紅外視頻眼震電圖儀、全功能聽覺誘發電位分析儀、前庭功能自動旋轉檢測儀、動靜態平衡臺等具有國際先進水平的儀器設備。通過多學科合作,拓寬了治療眩暈的新途徑。該中心于2012年10月開通全國第一家關于眩暈病的醫學專業網站-中國眩暈網(www.xuanyunchina.com),該網站涵蓋內容豐富,既為民眾提供關于眩暈病的科普知識、在線問答,又為臨床、科研工作者提供眩暈病的最新資訊及學術交流平臺。

      同時,圍繞中西醫結合治療腦血管病、帕金森病、重癥肌無力、頭痛等疾病展開科研攻關。積極對本專科領域文獻記載的診療方法進行發掘、整理與應用,對本專業有代表性的學術思想及實踐經驗進行系統性創造性應用,對民間具有科學性和實用價值的診療經驗和方法進行收集、整理,先后開發出多個院內中藥制劑和中醫非藥物特色療法。逐步形成了以眩暈病、中風為主要特色病種,兼顧其他神經內科雜癥的集教學、科研、臨床為中心的專科科室。

      腦病醫院介入科

      腦病醫院介入科是國家中醫藥管理局重點專科、國家臨床重點專科(中醫專業)建設單位、國家中醫藥管理局重點學科建設單位。同時是河南省中醫介入診療技術培訓基地。

      該病區由知名中醫腦病專家和介入科專家組成,現有高級職稱4人,博士1人,碩士7人。該病區在我省最早開展腦血管病介入診斷和治療,在神經介入和腫瘤介入方面積累了豐富的經驗。

      先進的儀器設備、強大的技術力量、合理的人才隊伍實現了傳統中醫藥與現代醫學先進技術的完美結合,真正采用中西醫結合的方法防治腦血管疾病。對于輕-中度腦血管狹窄,采用以中醫治療為主,結合患者體質、舌苔、脈象等個體化因素,采用益氣、活血、補腎、化痰等不同的治療原則遣方用藥,可明顯改善腦血管狹窄程度。同時對于改善腦動脈硬化造成的頭暈、頭痛、四肢乏力、記憶力差等多種癥狀有顯著療效。對于中-重度腦血管狹窄患者,在中藥調理的基礎上,結合腦血管造影診斷,強化抗動脈硬化治療,必要時進行介入治療,可有效防止腦血管意外的發生。

      腦病醫院介入科主要治療腦梗死、腦出血、蛛網膜下腔出血、短暫性腦缺血發作、椎-基底動脈供血不足、顱內動脈瘤、顱內血管畸形、腦動脈炎、顱內靜脈竇及腦部靜脈血栓形成、腦動脈盜血綜合癥、動脈壁夾層病變等急慢性腦血管疾病。同時對于各類腫瘤和外周血管病變的介入治療,也具有良好的臨床療效。





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