针刺与药物结合治疗小儿热性惊厥临床观察

目的：探寻治疗小儿热性惊厥的有效疗法。方法：将70例热性惊厥患儿随机分成两组，针药组（36例）采用针刺醒脑开窍法以水沟穴为主，配合鲁米那肌肉注射、安定静脉推注；药物组（34例）单纯采用肌肉注射鲁米那、安定静脉推注。观察两组疗效、止惊起效时间及复发率。结果：针药组总有效率为86．1％，优于药物组的79．4％；在止惊起效时间上，针药组明显短于药物组（P〈0．01），且针药组复发率低于药物组（P〈0．05）。结论：针刺配合肌肉注射鲁米那、静脉推注安定治疗热性惊厥是一种快速、有效、安全的方法。

Clinical observation on acupuncture combined with medicine for treatment of infantile febrile convulsion

OBJECTIVE: To explore an effective therapy for treatment of infantile febrile convulsion. METHODS: Seventy infants of febrile convulsion were randomly divided into two groups, a combined acupuncture and drug group (n = 36) were treated with Xingnao Kaiqiao needling method with Shuigou (GV 26) selected as main combined with intramuscular injection of luminal and intravenous perfusion of diazepam; and a drug group (n = 34) treated with simple intramuscular injection of luminal and intravenous perfusion of diazepam. Their therapeutic effects, the time of inducing the stopping convulsion, and the recurrence rate were investigated. RESULTS: The total effective rate was 86.1% in the combined acupuncture and drug group, better than 79.4% in the drug group (P<0.05), and the time of inducing the stopping convulsion in the combined acupuncture and drug group was shorter than that in the drug group (P<0.01), and the recurrence rate in the combined group was lower than that in the drug group (P<0.05). CONCLUSION: Acupuncture combined with intramuscular injection of luminal and intravenous perfusion of diazepam is an effective and safe method for febrile convulsion.