针药综合治疗进行性肌营养不良症的临床疗效观察

目的　针药综合治疗进行性肌营养不良症的临床观察。方法　随机选择经西医诊断标准确诊之住院及门诊的Duchenne型肌营养不良症患者 ,采用中药和针灸补肾填精、健脾益气及活血通络和西药、按摩及功能锻炼的综合方法进行治疗 ,共治疗 5 0例。结果　治疗结果显示 :①治疗后比治疗前的症状体征积分值明显下降 (P <0 0 1) ;②治疗后 10米步行及登梯时间明显比治疗前缩短 (P <0 0 1) ;③治疗后血清CPK、LDH、GPT、GOT均较治疗前改善 (P <0 0 0 1)。 5 0例中显效2 9例 ,有效 13例 ,好转 6例 ,无效 2例 ;总有效率占 96%。结论　针药结合补肾填精、健脾益气及活血通络并辅以常规西药、按摩及功能锻炼治疗进行性肌营养不良症 5 0例 ,有效率达 96% ,说明针药结合治疗难治性遗传病具有可靠的疗效。

The Clinical Observation on Treatment with Acupuncture and Herbs for Muscular Pseudohypertrophy and Progressive Myodystrophy

Objective The clinical observation of treatment with acupuncture and herbs for muscular pseudohypertrophy and progressive myodystrophy.Methods\ Selecting 50 cases of in\|patients and out\|patients with muscular pseudohypertrophy and progressive myodystrophy at random, those patients are treated by combining treatments which included Chinese herbs and acupuncture to nourish the kidney\|essence, reinforce the spleen\|qi and promote circulation of blood together with western medicine, massage and functional exercises.Results\ The result of treatment of 50 cases with muscular pseudohypertrophy and progressive myodystrophy are:1.The global score of the manifestations after treatment is lower than before ( P<0 01 );2.The time of 10\|meter walk and stair\|climbing after treatment is shorter than before ( P< 0.01); 3.CPK,LDH,GPT and GOT of blood serum are much lower than before ( P< 0.001). In 50 cases, 29 cases are significantly effective, 19 cases are effective and 2 cases are ineffective The total effective rate is 96%.Conclusions\ We advoeate combining treatment which included Chinese herbs and acupuncture to treat patients with muscular pseudohypertorphy and progressive myodystrophy, to nourish the kidney\|essence, reinforce the spleen\|qi and promote circulation of blood with western medicine, massage and functional exercises. The effective rate is 96% indicating that the treatment of TCM for genetic diseases will have a good result.