穴位注射对缺氧缺血性脑病患儿恢复期肌张力低下的疗效评价

目的：探讨穴位注射对缺氧缺血性脑病恢复期肌张力低下患儿的治疗效果。方法将96例缺氧缺血性脑病恢复期肌张力低下患儿采用随机数字表法分为治疗组46例，对照组50例，均予以常规综合治疗，治疗组在此基础上加用单唾液酸四己糖神经节苷脂注射液20 m g穴位注射，对照组加用单唾液酸四己糖神经节苷脂注射液20 m g静脉滴注，观察3个月。治疗后采用徒手肌力法评定肌力，表面肌电评估系统评估肱二头肌的恢复情况。结果治疗3个月后两组患儿肱二头肌徒手肌力检查结果显著优于治疗前（P＜0．01），且治疗组显著优于对照组（P＜0．05），肌电信号的肌电积分值及均方根值均显著高于治疗前（P＜0．01），且治疗组显著优于对照组（P＜0．01）。结论在综合康复治疗的基础上辅以局部穴位注射，有助于进一步改善患儿的肌力及肱二头肌的恢复状况。

The effect of point injection on convalescence hypomyotonia of hypoxic ischemic encephalopathy children

Objective To explore the therapeutic effect of point injection on convalescence hypomyotonia of hypoxic ischemic encephalopathy (HIE) children .Methods Ninety‐six HIE children with convalescence hypomyotonia were randomly assigned to treatment (n=46) and control group (n=50) ,both groups re‐ceived routine combined therapy ,on this basis treatment group was plus point injection of monosialotetera‐hexosyl ganglioside 20 mg ,and control group plus monosialoteterahexosyl ganglioside 20 mg iv gtt for 3 months .After treatment muscle strengths were assessed with Manual Muscle Testing (MMT) and recov‐ery states of biceps brachii with surface myoelectricity evaluation system .Results After 3 month treat‐ment the MMT results of biceps brachii of both groups were better compared with pretreatment (P<0 .01) ,so was that in treatment than control group (P<0 .01) ,scores and root mean square values of elec‐tromyographic signal of both groups were significantly higher compared with pretreatment (P<0 .01) ,so were those in treatment than control group (P<0 .01) .Conclusion Acupoint injection auxiliary to com‐prehensive rehabilitation is conducive to the improvement of muscle strength and biceps brachii of HIE children .