中西医结合治疗小儿脑瘫早期症状疗效观察

Combined Treatment of Traditional Chinese Medicine and Western Medicine on Cerebral Palsy Early Symptom

目的：探讨中西医结合对小儿脑瘫早期症状的早期干预效果。方法：将NBNA评定总分≤35分的新生儿,分为干预组及对照组,干预组进行中西医结合治疗,观察两组高危因素、0-3个月出现早期症状、体征及后遗症方面有无明显差异,并随机收集无高危因素组为健康组,观察3组运动发育、姿势反射建立时间的差别。结果：中西医结合早期干预后,干预组1岁时无一例发生脑瘫,对照组1岁时有3例诊断为脑瘫,癫痫1例,脑积水1例,白内障1例,双侧神经性耳聋1例。结论：中西医结合对小儿脑瘫早期症状早期干预,可降低脑瘫发生率,减轻脑瘫程度。对高危儿进行早期干预开始时间越早越好。

Objective： For investigated the therapeutic efficacy of cerebral palsy with combined treatment of traditional Chinese medicine and western medicine. Methods： Selected the neonatus in our hospital from Jun 2005 to 2007, which neonatal behavioral neurological assessment scores is lower than 35, apportion to treated group and control group. The treated group have had combined treatment of traditional Chinese medicine and western medicine, and then analysis the difference of the two groups. And select the random sampling in healthy children to set up the health group, comparing the three groups with motor development or set up time of postural reflex. Results ： Combir.ed treatment of traditional Chinese medicine and western medicine can reduce the rate of cerebral palsy sequelae. Conclusion： Combined treatment of traditional Chinese medicine and western medicine can reduce the cerebral palsy＇ s rate, the more ：early the better therapeutic efficacy.