多发性硬化病的中西医结合临床教学探讨

Discussion on the Clinical Teaching of Multiple Sclerosis with the Combination of Traditional Chinese and Western Medicine

多发性硬化是神经科疑难病,现代医学用激素等冲击治疗,虽能缓解病情,但容易复发,临床致残致死率高,中医治疗优势明显。中西医结合临床研究生对该病用感性认识较少,且中医专业研究生往往对神经科疾病认识不足,为临床教学增加很多困难。本文通过多发性硬化病的治疗过程,对学生进行神经内科查体、定位、定性诊断方法进行系统培养,使学生养成规范的神经内科思维习惯,正确运用现代医学方法,诊疗神经科疾病,同时,树立牢固的中医专业思想;笔者从学生了解的脑血管疾病入手,结合实际病例分析、影像资料、鉴别诊断及中医治疗该病优势几方面,循序渐进培养学生神经病学疾病的诊疗能力。既加强学生中医专业思想,又培养学生神经内科疾病的规范诊疗能力。

Multiple sclerosis is a stubborn disease in neurology. Hormone and other immunosuppressive drugs are used to relieve the illness, but easy to relapse. The clinical disability fatality rates are high. Chinese medicine has an advantage in treating the disease.However, the graduate students of integrated Chinese and western medicine have less knowledge of the disease. These increase the difficulties of teaching. In this article, we attempt to teach the diagnosis method of neurology through multiple sclerosis, let the students to understand the neurology thinking habit, and correctly use modern medical method to treat neurological disease. At the same time, we also help the students to set up the strong professional ideology of traditional Chinese medicine. In addition, since the students know the cerebrovascular diseases well, we combine with the actual case analysis, image data, differential diagnosis and treatment of the disease of TCM advantages, gradually improve students＇ ability to neurological disease diagnosis and treatment,strengthen students＇ professional thought, and cultivate students＇ abilities of neurology disease diagnosis and treatment.