电针辅助作业疗法治疗小儿臂丛神经损伤40例临床观察  

Clinical observation on 40 cases of children with brachial plexus injury treated by electroacupuncture in adjunctive with occupational therapy

作　　者：熊英[1] 阳伟红[1] 欧阳云[1] 胡继红[1] XIONG Ying;YANG Weihong;OUYANG Yun;HU Jihong(Rehabilitation Center,Hunan Provincial Children's Hospital,Changsha,Hunan,410007,China)

机构地区：[1]湖南省儿童医院康复中心,湖南长沙410007

出　　处：《中医儿科杂志》2021年第6期84-88,共5页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的观察中医电针辅助作业疗法治疗小儿臂丛神经损伤(BPI)的临床疗效。方法选取2016年4月至2020年2月在湖南省儿童医院康复中心治疗的80例BPI患儿作为研究对象,采用随机数字表法分为对照组和治疗组,各40例。对照组给予基础康复+作业疗法治疗,治疗组在对照组治疗方法的基础上加用电针治疗,2组均治疗4个月后比较临床疗效,治疗前后正中神经、腋神经传导速度变化,肩关节功能和臂丛神经损伤功能障碍评估表(OBPIF)评分。结果治疗组总有效率为97.5%(39/40),显著高于对照组的80.0%(32/40),2组比较,差异有统计学意义(P<0.05)。治疗前,2组正中神经、腋神经传导速度比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组上述指标水平均明显增加,与同组治疗前比较(P<0.05),且治疗组升高更显著,差异有统计学意义(P<0.05)。治疗前,2组肩关节前屈上举、后伸、外展上举、内收、外旋、内旋活动度比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组上述活动度增大,与同组治疗前比较,差异有统计学意义(P<0.05),且治疗组升高更显著(P<0.05)。治疗前,2组肩关节OBPIF、Constant-Murley评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组上述评分均明显升高,与同组治疗前比较,差异有统计学意义(P<0.05),且治疗组升高更显著(P<0.05)。结论电针辅助作业疗法治疗BPI患儿疗效满意,可以有效地改善臂丛神经功能,提高OBPIF、Constant-Murley评分和ROM,值得临床推广应用。Objective To observe the clinical efficacy of TCM electroacupuncture(EA) in adjunctive with occupational therapy(OT) for children with brachial plexus injury(BPI).Methods From April 2016 to February 2020,80 cases of BPI treated in rehabilitation center of Hunan Provincial Children’s Hospital were chosen as research objects and divided into control group and treatment group according to random number table method, with 40 cases in each group.The control group was given basic rehabilitation and OT,on this basis, the treatment group was added EA therapy.After the 2 groups were both treated for 4 months, the clinical efficacy, the changes of conduction velocity of median nerve and axillary nerve, shoulder joint function and obstetric brachial plexus injury form(OBPIF) score before and after treatment were compared.Results The total effective rate of the treatment group was 97.5%(39/40),which was significantly higher than 80.0%(32/40) of the control group, and the difference was statistically significant between the 2 groups(P<0.05).Before treatment, the difference was not statistically significant in conduction velocity of median nerve and axillary nerve between the 2 groups(P>0.05),indicating comparability.After treatment, the above-mentioned indices levels of the 2 groups significantly increased than those in the same group before treatment(P<0.05),moreover, the increase was more significant in the treatment group, and the difference was statistically significant(P<0.05).Before treatment, the difference was not statistically significant in should joint range of motion(ROM) involving forward elevation, backward extension, abduction and elevation, adduction, outward rotation and inward rotation between the 2 groups(P>0.05),indicating comparability.After treatment, the above-mentioned ROM significantly increased compared with that in the same group before treatment(P<0.05),moreover, the increase was more significant in the treatment group, and the difference was statistically significant(P<0.05).Before treatment, th

关 键 词：臂丛神经损伤 小儿 电针 肩关节功能 神经传导 临床观察 

分 类 号：R651.3[医药卫生—外科学]