位点注射穴位封闭联合理疗与单纯理疗在格林巴利综合征治疗中的疗效比较

Site injection and acupoint block combing physiotherapy versus physiotherapy for Guillain-Barre syndrome

目的 探讨位点注射穴位封闭配合理疗与单纯理疗对格林巴利综合征患儿肢体功能恢复效果对比。方法 选择2012年6月至2017年6月在本院进行治疗的格林巴利综合征患儿100例进行研究。采用随机数字表法将患者分为两组，对照组与观察组，各50例。两组患儿入院后均进行短期（2~10 d）激素、维生素、辅酶A等药物治疗，病情得到控制后对照组进行常规理疗，观察组在此基础上加以位点注射穴位封闭。对两组患者临床疗效，肢体功能恢复效果及神经传导速度进行观察。结果 治疗后两组运动功能评分与感觉障碍评分均明显升高（均P＜0.05），但观察组升高幅度更为明显（P＜0.05）。两组治疗后神经传导速度均显著提升（均P＜0.05），但观察组传导速度提升幅度更大（P＜0.05）。观察组总好转率为98.0%，对照组为86.0%（P＜0.05）。结论 位点注射穴位封闭配合理疗可明显提高格林巴利综合征患儿好转率，促进肢体功能恢复，加快神经传导速度。

Objective To investigate the effects of site injection and acupoint block combing physiotherapy versus physiotherapy for Guillain-Barre syndrome.Methods 100 children with Guillain-Barre syndrome treated at our hospital from June,2012 to June,2017 were selected for study and divided into two groups using random number table method,50 cases for each group.After admission,both groups were treated with short-term(2-10 days)hormone,vitamin,and coenzyme.After the disease was controlled,the control group was given routine physical therapy.The observation group was given site injection and acupoint block combing physiotherapy.The clinical efficacy,recovery of limb function,and nerve conduction velocity were observed in the two groups.The count data were used chi-square test for analysis and measurement data t-test or F test for analysis.Results The scores of motor function and sensory disturbance in both groups were significantly increased after treatment(P<0.05),but the increment in the observation group was more obvious(P<0.05).The nerve conduction velocity in both groups increased significantly(P<0.05),but the increment in the observation group increased more significantly(P<0.05).The total improvement rate of the observation group was 98.0%,which was significantly higher than that of the control group(86.0%,P<0.05).Conclusion Site injection and acupoint block combing physiotherapy for children with Guillain-Barre syndrome can significantly improve the improvement rate and the recovery of limb function and accelerate the nerve conduction velocity.