颈动脉交感神经网剥离术结合高压氧等治疗手足徐动型脑瘫研究

Effect of Carotid Artery Sympathetic Nerve Net Exfoliation Combined with Hyperbaric Oxygen Therapy on Athetosic Type Cerebral Palsy

目的探讨颈动脉交感神经网剥离术结合高压氧及药物治疗手足徐动型脑瘫的临床疗效。方法46例手足徐动型脑瘫患儿分为治疗组25例和对照组21例,对两组患儿行颈动脉交感神经网剥离,治疗组术后加用高压氧及药物治疗,观察两组患儿术后的功能改善情况。结果术后1周评定,对照组总有效率66.67%,治疗组总有效率64.00%;两组无显著性差异。术后3个月评定,治疗组症状明显改善,总有效率96.00%,对照组无改善,两组有显著性差异(P<0.05)。结论颈动脉交感神经网剥离可以改善手足徐动型脑瘫患儿的症状,结合高压氧及药物治疗可以进一步提高疗效。

Objective To explore the effect of carotid artery sympathetic net exfoliation combined with hyperbaric oxygen therapy on athetosic type cerebral palsy （CP）. Methods 46 CP children （athetosic type） were divided into the treatment group （n= 25） and control group （n= 21）. All cases of two groups were treated with carotid artery sympathetic net exfoliation as well as children of the treatment group were added with drug and hyperbaric oxygen therapy. Therapeutic effect of two groups was compared. Results One week after operation, the effect rate was 66. 67% in control group and 64% in treatment group with no significant difference between two groups. 3 months after operation, the effect rate of the treatment group increased to 96.00%, but that of the control group was not changed, there was a significant difference between two groups （ P 〈0.05）. Conclusion Carotid artery sympathetic nerve net exfoliation can improve the symptoms of athetosic type CP children, if combined with hyperbaric oxygen therapy, the curative effect will be further improved.