综合疗法治疗脑性瘫痪合并视神经萎缩疗效观察

Observation on therapeutic effect of comprehensive therapy on optic atrophy complicated by cerebral palsy

目的:评估中西医结合综合疗法治疗脑性瘫痪合并视神经萎缩的疗效。方法:将117例患儿分为观察组(79例)、对照组(38例)。对照组采用神经营养药、高压氧等西医常规治疗,观察组在对照组基础上采用针刺(穴取肝俞、脾俞、承泣等)及球后穴位注射(注射复方丹参注射液0.2～0.3mL)。两组患儿治疗前后行眼底和追视物体角度检查并评定疗效。结果:观察组总有效率为91.1%,对照组总有效率为60.5%,两组总有效率差异有统计学意义(P<0.001);两组治疗后追视物体角度均明显增加(P<0.01),且观察组较对照组改善显著(P<0.01)。结论:中西结合疗法是治疗脑性瘫痪合并视神经萎缩的有效方法。

Objective To assess therapeutic effect of combined treatment of Chinese medicine and western medicine on optic atrophy complicated by cerebral palsy. Methods One hundred and seventeen cases were divided into an observation group （n=79） and a control group （n=38）. The control group were treated with routine western medicine treatment including neurotrophic drugs and high pressure oxygen, etc. and the observation group with acupunc ture at Ganshu （BI. 18）, Pishu （BL 20）, Chengqi （ST 1） , etc. and injection of 0.2--0.3 mL Compound Danshen Injectio into Qiuhou （EX HN 7）, on the basis of the same treatment of western medicine as that in the control group. Fundus examination and the tracing body angle detection were conducted before and after treatment and the therapeutic effects were assessed in the two groups. Results The total effective rate was 91.1% in the observation group and 60.5% in the control group with a significant difference between the two groups （P〈0.001） ; after treatment the angle of tracing body significantly increased in the two groups （P〈0.01） with the observation group better than the control group （P〈0.01）. Conclusion The combined treatment of Chinese medicine and western medicine is an effective therapy for optic atrophy complicated by cerebral palsy.