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昏迷病人能不能吃安宫牛黄丸?

周岩 2018-07-19 08:53:17

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临床上经常能碰到昏迷病人家属拿着“安宫牛黄丸”问:“大夫,能吃这个药吗?”

昏迷病人能不能吃安宫牛黄丸?

西医临床医生有可能对这个药不熟悉,但是“醒脑静”和“清开灵”不会不知道。这两个药都是安宫牛黄丸的演化方剂。安宫牛黄丸是我国传统药物中治疗急重病症的久负盛名的良方,被誉为“温病三宝”之一。安宫牛黄丸的演化方剂目前国内已广泛应用于各种原因引起的意识障碍或昏迷。

什么病能用这个药?

【急性脑卒中】突然晕倒、不省人事,伴口角歪斜、语言不利、半身不遂,或仅以口歪、半身不遂为临床表现的疾病,因其发病急骤,症状多样,病情变化迅速,与风之善行数变相似,故又名中风。

在西医医院,治疗该类疾病时安宫牛黄丸的使用率并不高,但普遍使用的醒脑静、清开灵却是安宫牛黄丸的演化方剂,具有良好的临床效果。

【重型颅脑损伤】是颅脑损伤中较严重的一种,临床表现为严重的意识障碍、言语和肢体功能障碍等。在西医常规的基础上给予安宫牛黄丸及其演化方剂,确实能提高治疗效果,这表明此类方剂的促醒及改善预后作用较为明显。但是,我们要非常明确的是,决定病情预后主要取决于伤情的严重程度,比如是否有原发脑干损伤、脑疝以及年龄等。

另外,昏迷、缺血缺氧性脑病、高血压脑出血、肺性脑病、病毒性脑炎等疾病的治疗中,安宫牛黄丸及其演化方剂发挥着积极的作用。临床最常用的“醒脑静注射液”就是按安宫牛黄丸经减味而制成的演化制剂,临床多项研究显示,在常规药物治疗的基础上加用醒脑静注射液,其治疗的总有效率提高,意识恢复时间缩短,再出血率降低。

时刻提醒读者【最重要的注意事项】:安宫牛黄丸不是包治百病的“仙丹妙药”,一定要掌握适应症及注意事项,谨慎使用而不滥用。一定要在医生允许和指导下使用。此外,安宫牛黄丸所含的朱砂、雄黄等药味是有毒重金属中药,方中的牛黄、犀角、黄连、黄芩、栀子等药味则属于寒凉之品,因此治疗时应中病即止,不可长时间服用。

声明:本文授权中华网好医生频道发布,转载须注明“来源:中华好医生”,如需内容合作请联系中华好医生频道,电话:(010)52598588-8557,邮件:yi@bj.china.com,谢谢!
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