针灸结合桂枝汤治疗脑瘫患儿汗证30例疗效观察

Observation of the efficacy of acupuncture combined with Guizhi decoction on 30 children of cerebral palsy accompanied by perspiration syndrome

目的观察针灸配合桂枝汤加味治疗脑瘫患儿汗证的临床疗效。方法选择2014年1月至2016年5月陕西中医药大学附属西安中医脑病医院住院的脑瘫患儿伴有汗证者60例为研究对象,以随机数字法分为治疗组和对照组,每组30例。治疗组患者应用针灸配合桂枝汤治疗,对照组患者应用虚汗停颗粒治疗,两组患者均治疗10天,治疗前后均参照有关文献进行评定观察,比较两组治疗效果。结果治疗组出汗评分值为2.0±4.6,显著低于对照组的4.3±2.7,差异有统计学意义(t=2.362,P<0.05)。治疗组的有效率为93.3%(28/30),显著高于对照组的70.0%(21/30),χ~2=2.362,P<0.05。结论桂枝汤加味配合针灸治疗脑瘫患儿汗证疗效明显,值得临床推广应用。

Objective To observe the clinical efficacy of acupuncture combined with Guizhi decoction on children with cerebral palsy accompanied by perspiration syndrome. Methods From January 2014 to May 2016,sixty children with cerebral palsy accompanied by perspiration syndrome were selected from the patients admitted in Affiliated Xi＇an Chinese Medicine Encephalopathy Hospital of Shaanxi Chinese Medicine University,and they were randomly divided into treatment group and control group with 30 cases in each group. The patients in the treatment group were treated with acupuncture combined with Guizhi decoction,while patients in the control group were treated with Xuhanting Particles. All patients were treated for 10 days. The therapeutic effect was compared between two groups before and after treatment. Results The sweating score of the treatment group was 2. 0 ± 4. 6,which was significantly lower than that of the control group（ 4. 3 ± 2. 7）（ t = 2. 362,P〈0. 05）. The effective rate was 93. 3%（ 28/30） in the treatment group,which was significantly higher than that of the control group（ 70%）（ 21/30）（ χ^2= 2. 362,P〈0. 05）. Conclusion Acupuncture combined with Guizhi decoction is effective for children of cerebral palsy accompanied by perspiration syndrome,and it is worthy of clinical application.