早期针刺为主综合干预对缺氧缺血性脑损伤患儿预后的影响

Effect of acupuncture at early stage on prognosis of the infantile of anoxic and ischemic cerebral injury

目的:探讨缺氧缺血性脑损伤(HIBD)患儿早期综合干预的方法。方法:将148例中、重度新生儿缺氧缺血性脑病急性期后患儿分为针刺组与对照组,针刺组予以按症取穴针刺加高压氧舱加康复训练的综合干预措施,而对照组急性期出院后,采用常规育儿措施,于3、6、12、18月龄时均进行智力测验。结果:6、12、18月龄时针刺组平均发育商比对照组分别高14.54分、21.46分、24.06分;18月龄后针刺组伤残率为7.2%,而对照组伤残率高达33.8%,两组之间差异有非常显著性意义(P<0.01)。结论:早期针刺为主综合干预能有效地促进HIBD患儿精神运动发育,是改善预后、减少后遗症发生率、提高患儿生活质量的有效手段。

Objective To study on the effect of acupuncture at early stage on prognosis of the infantile of anoxic and ischemic cerebral iniury. Methods One hundred and forty-eight newborns of moderate and severe anoxic and ischemic encephalopathy after acute stage were randomly divided into an acupuncture group and a control group. The acupuncture group were treated with comprehensive interference with acupuncture as main after the acute stage, and the control group with a routine infanticulture measure after acute stage and were discharged from hospital. Intelligence test was conducted in age of 3, 6, 12 and 18 months. Results The average development quotient （DQ） in the acupuncture group in age of 6, 12, 18 months increased by 14.54 , 21.46, and 24.06 points as compared with the control group, respectively. After age of 18 months, the maim rate was 7.2% in the treatment group and 33.8% in the control group with a very significant difference between the two groups （P〈0. 01）. Conclusion The comprehensive interference with acupuncture as main at early stage can effectively promote mental and motion development, and it is effective way for improving prognosis, reducing incidence rate of sequelae and increasing life quality in the infantile of anoxic and ischemic encephalopathy.