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目的 探讨早期干预对产伤性臂丛神经麻痹的疗效。方法 以推拿及臂丛神经周围封闭为主 ,佐以针刺等疗法 ,对 5 7例小于 6个月的产伤性臂丛神经麻痹患儿进行早期干预。结果 5 7例患儿 ,2 0例失访 ,37例随访 6～ 12个月 :上干型 30例 ,痊愈 2 1例 (70 0 %) ,好转 8例 (2 6 7%) ,无效1例 (3 3%) ,有效率 96 7%。全臂型 7例 ,好转 5例 (71 4 %) ,无效 2例 (2 8 6 %) ,有效率 71 4 %。结论 推拿、臂丛神经周围封闭及针刺等早期干预可有效恢复患儿的运动功能 ,产伤性臂丛神经麻痹应及早进行早期干预 ,以提高疗效。
Objective To investigate the curative effect of early intervention on traumatic brachial plexus paralysis. Methods Massage and brachial plexus occlusion were the main methods. Accompanied by acupuncture and other therapies, early intervention was performed in 57 children with traumatic brachial plexus paraplegia, which were less than 6 months old. Results Fifty-seven children were followed up for 6-12 months. Twenty-seven cases were followed up for 6 to 12 months: 30 cases were dry-up, 21 cases recovered (70 0%), 8 cases improved (26.7%) and 1 was ineffective Example (33%), the efficiency of 96 7%. There were 7 cases of full arm type, 5 cases improved (71 4%), 2 cases (2 8 6%) were ineffective, and the effective rate was 71 4%. Conclusion Massage, brachial plexus nerve closure and acupuncture and other early intervention can effectively restore motor function in children, traumatic brachial plexus should be early intervention to improve the efficacy.