颈总动脉周围交感神经网剥脱切除术治疗学龄前脑瘫患儿的疗效及对患儿认知状况的影响  

Clinical Efficacy of Cerebral Palsy Carotid Artery Sympathetic Nerve Net Around Stripped Resection Preschool Children with Cerebral Palsy and Effect on the Cognitive Status

作　　者：张晶晶[1] 逯霞[1] 栾新平[1] 木依提[1] 杜鹏[1] ZHANG Ying-jing;LU Xia;LUAN Xin-ping;MU Yi-ti;DU Peng(Department of cerebral palsy center, Second Affiliated Hospital, Xinjiang Medical University, Urumqi, Xinjiang, 830011, China)

机构地区：[1]新疆医科大学第二附属医院,新疆乌鲁木齐830011

出　　处：《现代生物医学进展》2018年第9期1713-1716,1704,共5页Progress in Modern Biomedicine

基　　金：新疆自治区自然科学基金项目(2013211B52)

摘　　要：目的:探讨颈总动脉周围交感神经网剥脱切除术治疗学龄前脑瘫患儿的临床效果及对患儿认知状况影响。方法:选取2014年12月~2016年12月我院收治的学龄前脑瘫患儿84例,根据治疗方式的不同分为观察组与对照组,每组42例。对照组给予常规非手术治疗,观察组给予颈总动脉周围交感神经网剥脱切除术治疗,两组患儿均进行为期24周的随访观察。观察和比较两组的综合功能改善情况,治疗前后发育商、智商以及C因子值水平的变化。结果:观察组综合功能改善总有效率为95.24%(40/42),显著高于对照组的78.57%(33/42)(P<0.05)。治疗后24周,观察组患儿的发育商值为(84.5±11.3),显著高于对照组(62.2±12.4)(P<0.05);观察组患儿的智商值为(80.7±11.4),显著高于对照组(67.3±12.1)(P<0.05);观察组患儿的C因子值为(12.8±4.0),显著高于对照组(9.9±3.3)(P<0.05)。结论:颈总动脉周围交感神经网剥脱切除术治疗学龄前脑瘫患儿的临床效果显著,可有效改善患儿的认知状况。Objective： To study the clinical efficacy of cerebral palsy carotid artery sympathetic nerve net around stripped resection preschool children with cerebral palsy and effect on the cognitive status. Methods： 84 cases of preschool children with cerebral palsy amitted in our hospital from December 2014 to December 2016 were selected and divided into the observation group and the control group according to different methods of treatment with 42 cases in each group. The control group was given routine non-surgical treatment, while the observation group was given common carotid artery sympathetic nerve net around stripped resection treatment. Both groups of children were followed-up for 24 weeks. The comprehensive function, developmental quotient and intelligence quotient and factor C value before and after the treatment were compared between two groups. Results： The total effective rate of comprehensive function was 95.24%（40/42） in the observation group, which was significantly higher than that of the control group [78.57%（33/42）]（P〈0.05）. At 24 weeks after treatment, the developmental quotient value was（84.5 ±11.3） in the observation group, which was significantly higher than that of the control group（62.2±12.4）（P〈0.05）; the children＇s IQ was（80.7±11.4） in the observation group, which was significantly higher than that of the control group（67.3±12.1）（P〈0.05）; the C factor value was（12.8±4.0） in the observation group, which was significantly higher than that of control group（9.9±3.3）（P〈0.05）. Conclusion： Carotid artery sympathetic nerve net around stripped resection can effectively improve the patient＇s cognitive status in the treatment of preschool children with cerebral palsy.

关 键 词：交感神经切除 认知状况 脑瘫 学龄前 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R748[医药卫生—临床医学]