针刺结合高压氧治疗小儿缺血缺氧性脑病疗效观察

目的 探讨针刺结合高压氧治疗小儿缺氧缺血性脑病（HIE）的疗效。方法 59例HIE患儿，分为治疗组（33例），对照组（26例），两组均采用纠正酸中毒，控制脑水肿及惊厥，静脉滴注脑活素或胞二磷胆碱等基础治疗，治疗组则采用针刺结合高压氧治疗，对照组则只采用高压氧治疗。结果 治疗组与对照组总有效率分别为96．97％，73．07％。经统计学处理P〈0．01差异非常显著。结论 针刺加高压氧治疗HIE优于单用高压氧治疗，主要表现在能缩短疗程，提高治愈率，降低死亡率，减少后遗症的发生，HIE患儿应尽早治疗。

Observations on the treatment of hypoxemic infantile encephalopathy with acupuncture plus hyperbaric oxygen

Objective To investigate the efficacy of acupuncture plus hyperbaric oxygen for treating hypoxemic infantile encephalopathy(HIE).Methods Fifty-nine HIE children were allocated to treatment(33 cases) and control(26 cases) groups.Both groups were treated by removing acidosis,checking cerebral edema and convulsion,and intravenous drip of cerebrolysin and Citicoline as basic therapy.Besides,the treatment group was treated with acupuncture plus hyperbaric oxygen and the control group,with hyperbaric oxygen only.Results The total efficacy rate was 96.97% in the treatment group and 73.03% in the control group.Statistical analysis showed a very significant difference(P<0.01).Conclusion Acupuncture plus hyperbaric oxygen is better than simple hyperbaric oxygen in HIE treatment.It is mainly manifested in shortening the course of disease,increasing cure rate,decreasing death rate and reducing the occurrence of sequelae.HIE children should be treated as early as possible.