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难治性癫痫中西医诊治现状分析与临床对策
引用本文:平鑫,秦少坤,刘书宁,张苗苗,张少丹,裴林.难治性癫痫中西医诊治现状分析与临床对策[J].中华中医药杂志,2021(2).
作者姓名:平鑫  秦少坤  刘书宁  张苗苗  张少丹  裴林
作者单位:河北大学中医学院;华北理工大学中医学院;河北医科大学第二医院儿科;河北省中医药科学院河北省浊毒证重点实验室
基金项目:河北省政府资助临床医学优秀人才项目(No.360601);河北省中医药管理局中医药类重大医学科研课题(No.zyzd2013014);河北省中医药管理局科研计划项目(No.2018060)。
摘    要:文章从现代医学和中医学角度分析了难治性癫痫的病因、当前主要治疗手段及临床现状,进而探讨中西医诊治难治性癫痫的思路及临床对策。现代医学的主要治疗方式具有一定的局限性,而中医药治疗难治性癫痫的历史悠久、经验丰富、疗效可观,为临床治疗注入新的希望。通过对中西医诊治难治性癫痫的思考分析,创新学术理论及临床治法,讨论开展中医证候研究,建立中医循证医学、流行病学研究的可能性,并增加临床中药新药研发,拓展中医特色疗法和新型疗法的应用,加强与神经康复预防的联系,进而提升中西医结合治疗难治性癫痫的临床研究价值。

关 键 词:难治性癫痫  顽固性癫痫  痫病  中西医结合  临床对策

Analysis of existing circumstance and clinical strategies of Chinese and western medicine in the diagnosis and treatment of refractory epilepsy
PING Xin,QIN Shao-kun,LIU Shu-ning,ZHANG Miao-miao,ZHANG Shao-dan,PEI Lin.Analysis of existing circumstance and clinical strategies of Chinese and western medicine in the diagnosis and treatment of refractory epilepsy[J].China Journal of Traditional Chinese Medicine and Pharmacy,2021(2).
Authors:PING Xin  QIN Shao-kun  LIU Shu-ning  ZHANG Miao-miao  ZHANG Shao-dan  PEI Lin
Institution:(College of Traditional Chinese Medicine,Hebei University,Baoding 071051,China;Traditional Chinese MedicineCollege,North China University of Science and Technology,Tangshan 063210,China;The Second Hospital of Hebei Medical University,Shijiazhuang 050073,China;Hebei Academy of Traditional Chinese Medicine,Shijiazhuang 050031,China)
Abstract:Based on traditional Chinese medicine(TCM) and western medicine, main treatment methods and clinical status of refractory epilepsy(RE) was analyzed, and the idea and clinical countermeasures of integrated Chinese and Western medicine in treating RE was discussed. The main treatment methods of western medicine have certain limitations, while the TCM has a long history, rich experience and considerable curative effect in the treatment of RE, which injects new hope into the clinical treatment of RE. Based on the consideration of integrated treatment of RE with TCM and western medicine, academic theories and clinical treatment methods were innovated, the possibility of developing TCM syndromes, establishing evidence-based medicine and epidemiological research, and increasing the development of clinical TCM new drugs, expanding the application of TCM characteristic therapy and new therapies, strengthening the connection with nerve rehabilitation and prevention was explored, so as to further promote the clinical research value and broad application prospect of integrated TCM and western medicine in the treatment of RE.
Keywords:Refractory epilepsy  Intractable epilepsy  Epilepsy  Integration of traditional Chinese and Western medicine  Clinical strategies
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