产伤性臂丛神经麻痹的早期干预  

Early Intervention in Birth Brachial Palsy

作　　者：张锐[1] 陈亚利[2] 黄婉芬[2] 

机构地区：[1]青岛大学医学院附属医院儿科,山东266003 [2]青岛大学医学院附属医院资深门诊,山东266003

出　　处：《北京中医药大学学报（中医临床版）》2003年第2期41-43,共3页Journal of Beijing University of Traditional Chinese Medicine

摘　　要：目的　探讨早期干预对产伤性臂丛神经麻痹的疗效。方法　以推拿及臂丛神经周围封闭为主 ,佐以针刺等疗法 ,对 5 7例小于 6个月的产伤性臂丛神经麻痹患儿进行早期干预。结果　 5 7例患儿 ,2 0例失访 ,37例随访 6～ 12个月 :上干型 30例 ,痊愈 2 1例 (70 0 %) ,好转 8例 (2 6 7%) ,无效1例 (3 3%) ,有效率 96 7%。全臂型 7例 ,好转 5例 (71 4 %) ,无效 2例 (2 8 6 %) ,有效率 71 4 %。结论　推拿、臂丛神经周围封闭及针刺等早期干预可有效恢复患儿的运动功能 ,产伤性臂丛神经麻痹应及早进行早期干预 ,以提高疗效。Objective The curative effect of early intervention in birth brachial Palsy (BBP) was discussed. Method Fifty-seven infants under 6 months with BBP were intervened early by massage, block injection around the brachial plexus, acupuncture and other therapies. Result Out of 57 cases, 37 were re-examined within 6～12 months. Among them 30 cases were diagnosed as Erb's Palsy. The results of treatment were as follows: 21 cases (70.0%) regained full nervous function, 8 (26.7%) were improved, and only 1 (3.3%) showed no improvement at all. The effective rate was 96.7%. The remaining 7 cases who were re-examined were diagnosed as Erb-Klumpke Palsy. After early intervention, 5 cases (71.4%) showed some improvement in nervous function and 2 (28.6%) were not improved at all. The effective rate was 71.4%. Conclusion Application of early intervention upon diagnosis will result in improved prognosis and increased cure rate for infants with BBP.

关 键 词：产伤性 臂丛神经麻痹 早期干预 推拿 臂丛神经周围封闭 治疗 患儿 

分 类 号：R246.4[医药卫生—针灸推拿学]