The Effectiveness of Combination Therapy of Oriental Medicine and Western Medicine on Acute Stroke: a controlled study

급성기 뇌졸중에 대한 한양방 병용치료의 효과

  • Park, Jung-Mi (Department of Oriental lnternal Medicine, Pun Dang CHA Hospital, Chung Moon University) ;
  • Choi, Byung-Ok (Department of Neurology, Pun Dang CHA Hospital, Chung Moon University) ;
  • Jung, Woo-Sang (Department of Oriental lnternal Medicine, Pun Dang CHA Hospital, Chung Moon University)
  • 박정미 (포천중문의과대학 분당차병원 한방내과) ;
  • 최병욱 (포천중문의과대학 분당차병원 신경과) ;
  • 정우상 (포천중문의과대학 분당차병원 한방내과)
  • Published : 2001.09.30

Abstract

Objectives: We were to assess the effectiveness of combined therapy of Oriental Medicine and Western Medicine on acute stroke. Methods: We selected acute middle cerebral artery territory infarction subjects, within 3 days after stroke onset, who had never have any type of stroke history before. The subjects, admitted to department of Oriental Medicine, received combination therapy of western medical treatment including thrombolytic, anticoagulant, or antiplatelet agents and oriental medical treatment including acupuncture and herbs medication. The other subjects, admitted to department of Neurology, received only modern western medical treatment. The National Institute of Health Stroke Scale (NIHSS) was checked at admission, 1 week and 2 weeks later to assess neurologic improvement. The Modified Barthel Index (MBI) was checked 1 week and 2 weeks after admission to motor function recovery. Results: Comparing the NIHSS between baseline and 1 week later, the combination therapy group showed more improvement than the single-treated with anticoagulants group. However, there was no significant difference between the two groups, comparing 1 week and 2 weeks later with the NIHSS and the MBI. Conclusions: Combination therapy have more beneficial effect on acute stage of stroke.

Keywords

References

  1. Lancet v.349 no.9045 Progression of ischemic stroke and exitotoxic aminoacids Castillo, J.;Noya, M.
  2. Stroke v.30 no.6 Progression in acute stroke : value of the initial NIH stroke scale score on patient stratification in further trials DeGraba, T.J.;Hallenbeck, J.M.;Rettigrew, K.D.;Dutka, A.J.;Kelly, B.J.
  3. Arch Neurol v.53 no.7 Significant progression of white matter lesions and small deep infarcts in patients with stroke Van Zugten, M.;Boiten, J.;Kessels, F.;Lodder, J.
  4. Trends Pharmacol Sci v.20 no.5 Stroke therapy in traditional chinese medicine : prospects for drug discovery and development Gong, X.;Sucher, N.J.
  5. Forsch Komplementar med v.6 no.5 Acupuncture in stroke patients Shiflett, S.
  6. Am J Phys Med Rehabil v.78 no.2 Clinical trial of electrical acupuncture on hemiplegic stroke patients Wong, A.M.;Su, T.Y.;Tang, F.T.;Cheng, P.T.;Liaw, M.Y.
  7. 한중 중풍병 학술대회 참가 논문집 중풍환자의 기능 회복도에 대한 임상적 관찰 조기호;고성규;김영석;배형섭;이경섭
  8. Chung Kuo Chung Hsi I Chieh Tsa Chih v.17 no.1 Raising the standards for the clinical therpeutic effect of traditional chinese medicine combined with western medicine Wei, B.H.
  9. Wien Med Wochenschr v.146 no.21-2 Acupuncture as an adjuvant therapy in stroke rehabilitation? Ernst, E.;White, A.R.
  10. 경희의학 v.12 no.2 한방병원 심계내과 입원환자에 대한 임상연구 권도익;고창남;조기호;김영석;배형섭;이경섭
  11. Excerpt of 9th ICOM A Comparison between stroke patients admitted to oriental hospital in the yaer 1987 and 1994 Kim, Y.S.;Moon, S.G.;Ko, C.N.;Joh, K.H.;Bae, H.S.;Lee, K.S.
  12. Stroke v.25 no.11 Improved reliability of the NIH Stroke Scale using video training Lyden, P.;Brott, T.;Tilley, B.;Welch, K.M.;Mascha, E.J.;Levine, S.(et al.)
  13. Neurology v.53 no.1 Baseline NIH Stroke Scale socre strongly predicts outcome after stroke : a report of the trial of org 10172 in acute stroke treatment (TOAST) Adams, H.P. Jr.;Davis, P.H.;Leira, E.C.;Chang, K.C.;Bendixen, B.H.;Clarke, W.R.(et al.)
  14. Stroke v.27 no.10 Comparison of neurological scales and scoring systems for acute stroke prognosis Muir, K.W.;Weir, C.J.;Murray, G.D.;Povey, C.;Lees, K.R.
  15. Acta Neurol Scand v.91 no.1 Rehabilitation after stroke : predictive power of Barthel Index versus a cognitive and a motor index Engberg, A.;Bentzen, L.;Garde, B.
  16. Stroke v.30 no.8 Use of the Barthel Index and Modified Rankin Scale in acute stroke trials Sulter, G.;Steen, C.;De Keyser, J.