[1]张健,赵澎.电针配合肌电生物反馈治疗小儿臂丛神经损伤18例临床观察[J].中医儿科杂志,2017,(04):61-64.[doi:10.16840/j.issn1673-4297.2017.04.19]
 ZHANG Jian,ZHAO Peng.Clinical effect of 18 cases of electro-acupuncture combined with muscle electricity biofeedback in the treatment of brachial plexus injury in children[J].Journal of Pediatrics of Traditional Chinese Medicine,2017,(04):61-64.[doi:10.16840/j.issn1673-4297.2017.04.19]
点击复制

电针配合肌电生物反馈治疗小儿臂丛神经损伤18例临床观察
分享到:

《中医儿科杂志》[ISSN:/CN:62-1176/R]

卷:
期数:
2017年04期
页码:
61-64
栏目:
针灸推拿
出版日期:
2017-07-25

文章信息/Info

Title:
Clinical effect of 18 cases of electro-acupuncture combined with muscle electricity biofeedback in the treatment of brachial plexus injury in children
作者:
张健 赵澎
天津市儿童医院康复科, 天津 300134
Author(s):
ZHANG Jian ZHAO Peng
Rehabilitation Department, Children’s Hospital of Tianjin, Tianjin, 300134, China
关键词:
小儿臂丛神经损伤电针肌电生物反馈疗法临床观察
Keywords:
brachial plexus injury in childrenelectro-acupuncturemuscle electricity biofeedback therapyclinical observation
分类号:
R274.9
DOI:
10.16840/j.issn1673-4297.2017.04.19
摘要:
目的 观察运用电针配合肌电生物反馈治疗小儿臂丛神经损伤的临床疗效。方法 36例臂丛神经损伤患儿随机分成治疗组和对照组,对照组采用运动疗法、低频脉冲疗法、电脑中频疗法和氦氖激光疗法治疗,治疗组在对照组治疗方法的基础上进行电针结合肌电生物反馈治疗,每周治疗5次,共治疗4月。治疗前后采用徒手肌力评估法分别评定患儿上肢肌肉肌力的变化,同时运用神经电生理检测受损神经的传导速度,最后观察2组的整体治疗效果。结果 治疗组总有效率为94.44%,对照组为77.78%,2组比较差异有统计学意义(P<0.05);2组患儿治疗后患侧肌力明显提高,受损的神经得到明显修复,与治疗前比较,差异均有统计学意义(P<0.05)。结论 电针配合肌电生物反馈,同时运用运动疗法、低频脉冲、电脑中频和氦氖激光疗法治疗臂丛神经损伤疗效显著,值得临床推广。
Abstract:
Objective To observe clinical effect of electro-acupuncture combined with muscle electricity biofeedback in the treatment of brachial plexus injury in children.Methods 36 cases of brachial plexus injury in children were randomly divided into two groups.The control group was given kinesitherapy,low frequency pulse,computerized mild frequency stimulation and He-Ne lasers therapy,while the therapy group was given electro-acupuncture combined with muscle electricity biofeedback on the therapy of control group,5 times each week,totally treated for 4 months.Before and after treatment,evaluate changes of muscle and muscle strength of patients,at the same time,check conduction velocity of injured nerves by nerve electrophysiology,and then,clinical effect of two groups was observed and compared.Results The total effective rate of the control group was 77.78%,and that of the therapy group was 94.44% with significant difference (P<0.05);the muscle strength of patients in two groups were improved significantly and injured nerves repaired,there were statistical significant differences after and before treatment (P<0.05).Conclusion Electro-acupuncture combined with muscle electricity biofeedback therapy,matching with kinesitherapy,low frequency pulse,computerized mild frequency stimulation and He-Ne lasers therapy can treat brachial plexus injury in children effectively,which is worthy of clinical promotion.

参考文献/References:

[1] Nath R K,Liu X,Melcher S E,et al.Long-term outcomes of triangle tilt surgery for obstetric brachial plexus injury[J].Pediatr Surg Int,2010,26(4):393-399.
[2] 海宏阁,王新萍,王雅敏.综合康复治疗小儿臂丛神经损伤效果分析与研究[J].中国现代药物应用,2016,10(18):285-286.
[3] 中华医学会.临床诊疗指南·小儿神经内科分册[M].北京:人民卫生出版社,2006:368-369.
[4] 罗伟,成锦舟.针刺推拿治疗小儿分娩性臂丛神经损伤[J].中国针灸,2010,30(11):918-920.
[5] 李晓捷.实用小儿脑性瘫痪康复治疗技术[M].北京:人民卫生出版社,2009:16-17.
[6] 努思热提,韩庆,马海荣.电刺激配合针灸治疗臂丛神经损伤研究[J].亚太传统医药,2015,6(11):92-93.
[7] 曲萍.小儿臂丛神经损伤30例疗效观察[J].中国实用医药,2013,8,(14):127-128.
[8] 李红.综合康复治疗臂丛神经损伤患儿56例疗效观察[J].中国中西医结合儿科学,2013,13(5):415-416.
[9] 李靖婕.恩经复穴位注射治疗小儿臂丛神经损伤临床分析[J].中国实用神经疾病杂志,2013, 16(4):65-66.
[10] 贠国俊,曹建国,吴凌云,等.综合康复治疗32例分娩性臂丛损伤的疗效分析[C]//第五届全国儿童康复、第十二届全国小儿脑瘫康复学术会议暨国际学术交流会议论文集,西安,2012:360.
[11] 詹秀兰.穴位注射配合推拿治疗上干型小儿臂丛神经损伤15例[J].中医儿科杂志,2012,8(2):41-43.
[12] 霍静,田冲.中西医结合治疗小儿臂丛神经损伤疗效观察[J].中医临床研究,2014,6(28):120-121.
[13] 高磊,佟方,李京平.肌电生物反馈诱发脑卒中偏瘫患者下肢踝背屈的疗效观察[J].中国神经免疫学和神经病学杂志,2009,3(16):209-212.
[14] Rahimi F,Callaghan J P,Janabi-Sharifi F,et al.EMG-biofeedback and load sharing problem in assistive and rehabi- litation orthotic devices[J].Co Proc IEEE Eng Med Biol Soc,2009:3000-3003.

相似文献/References:

[1]王敏,董继革.电针结合综合康复技术治疗小儿脑瘫68例疗效观察[J].中医儿科杂志,2014,(06):48.
 Wang Min,Dong Jige.The effect observation of electric acupuncture and comprehensive rehabilitation therapy on 68 cases of children with cerebral palsy[J].Journal of Pediatrics of Traditional Chinese Medicine,2014,(04):48.
[2]陈勇,汪泽栋,丛文杰.电针疗法对儿童青少年单纯性肥胖的疗效分析[J].中医儿科杂志,2016,(06):78.[doi:10.16840/j.issn1673-4297.2016.06.27]
 CHEN Yong,WANG Zedong,CONG Wenjie.The curative effect analysis of simple obesity in children and adolescents by electro-acupuncture therapy[J].Journal of Pediatrics of Traditional Chinese Medicine,2016,(04):78.[doi:10.16840/j.issn1673-4297.2016.06.27]

备注/Memo

备注/Memo:
收稿日期:2016-12-26。
作者简介:张健(1980-)男,主治医师,医学学士。研究方向:中医儿科康复。
更新日期/Last Update: 1900-01-01