ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (4): 318-320.doi: 10.3969/j.issn.1674-3865.2017.04.014

• 临床研究 • 上一篇    下一篇

针刺联合药物治疗儿童脑炎后遗症的疗效观察

胡文静,廖红梅,陈玫,方红军   

  1. 410007 长沙,湖南省儿童医院神经二科
  • 出版日期:2017-08-25 发布日期:2017-12-08
  • 通讯作者: 胡文静,E-mail:sunxianyou@126.com
  • 作者简介:胡文静(1985-),女,医学硕士,主治医师。研究方向:小儿神经内科疾病的诊治

Efficacy of acupuncture combined with drug in the treatment of children with encephalitis sequelae

HU Wenjing,LIAO Hongmei,CHEN Mei,FANG Hongjun   

  1. Hunan Children's Hospital, Changsha 410007,China
  • Online:2017-08-25 Published:2017-12-08

摘要:
目的
观察针刺联合药物治疗儿童脑炎后遗症的治疗效果。
方法
选择2011年8月至2016年8月在湖南省儿童医院神经内科收治住院的儿童脑炎后遗症患儿123例作为研究对象。随机分为对照组60例和观察组63例。对照组患儿给予甘露醇降低颅内压处理,同时给予患儿退热、镇静及脱水利尿常规治疗。并且给予患儿奥卡西平片口服,每次150 mg,每日2次。观察组患儿在对照组治疗的基础上,行针刺治疗和穴位注射,每次取穴4~5个,注射乙酰谷酰胺100 mg。15 d为1个疗程,两组患儿均治疗2个疗程。对比两组患儿的治疗效果以及癫痫、智力障碍、残疾并发症发生情况。
结果
观察组患儿治疗总有效率为96.8%(61/63),显著高于对照组81.7%(49/60),差异有统计学意义(P<0.05)。观察组患儿的并发症总发生率为3.2%(2/63),显著低于对照组18.3%(11/60),差异有统计学意义(P<0.05)。
结论
在对儿童脑炎后遗症的治疗中,采用针刺联合药物治疗方式可以提升患儿的治疗效果,减少并发症发生。

关键词: 脑炎后遗症, 针刺, 药物治疗, 效果, 儿童

Abstract:
Objective
To observe the effect of acupuncture combined with drugs in the treatment of children with encephalitis sequelae.
Methods
A total of 123 children with encephalitis sequelae, who were hospitalized for treatment in Hunan Children's Hospital from August 2011 to August 2016, were included as the research subjects. They were randomly divided into control group(60 cases) and observation group(63 cases). The control group was given mannitol to reduce the intracranial pressure, and at the same time, the conventional treatment of abatement of fever, sedation, dehydration and dieresis was performed; the children were also given okazepine tablets for orally taking, 150 mg per time, twice a day. The observation group received the same treatment; besides, acupuncture and acupoint injection were performed, 4 to 5 points per time, and aceglutamide(100 mg) was injected. One course lasted for 15d and the children in both groups received two courses of treatment. Compare the treatment effect and the incidence of epilepsy, mental retardation and disability between the two groups.
Results
In the observation group, the total effective rate was 96.8%(61/63), significantly higher than the control group(81.7%,49/60), the difference being statistically significant(P<0.05). In patients in the observation group the overall complication rate was 3.2%(2/63), significantly lower than the control group(18.3%,11/60), the difference being statistically significant(P<0.05).
Conclusion
In the treatment of sequelae of encephalitis in children, the combination of acupuncture and drug treatment can improve the treatment effect and reduce complications.

Key words: Encephalitis sequelae, Acupuncture, Drug therapy, Effect, Children