Luo Wei, Cheng Jin-Zhou
TCM Department, Children's Hospital of Hunan Province, Changsha, China.
Zhongguo Zhen Jiu. 2010 Nov;30(11):918-20.
To compare the difference of therapeutic effect between acupuncture combined with Tuina and Nobex for treatment of birth brachial plexus injury.
Forty cases with birth brachial plexus injury were randomly divided into a acupuncture combined with Tuina group (group A) and a Nobex group (group B), 20 cases in each group. The group A was treated with acupuncture at 3 points, i. e. Jianyu (LI 15), Jianliao (TE 14), Jianzhen (SI 9) on shoulder, Binao (LI 14), Shouwuli (LI 13), Quchi (LI 11), etc. combined with Tuina using a single thumb and rolling method, and the group B was treated with intramuscular injection of Nobex. The clinical effects and the changes of the symptom, scores and the electromyogram were observed before and after treatment.
The total effective rate of 90.0% (18/20) in the group A was better than that of 55.0% (11/20) in the group B, with a significant difference between the two groups (P < 0.05). The effective rate of the electromyogram improvement in the group A was 90.0% (18/20), which was better than 45.0% (9/20) in the group B (P < 0. 05), and the symptom scores in the group A were lower than those in the group B (P < 0.01).
Acupuncture combined with Tuina can improve the recovery of nerve and upper extremity function and its therapeutic effect is superior to that of intramuscular injection with Nobex.
比较针刺结合推拿与神经妥乐平治疗产瘫臂丛神经损伤的疗效差异。
将40例产瘫臂丛神经损伤患儿随机分为针刺结合推拿组（A组）和神经妥乐平组（B组），每组20例。A组取肩部肩髃（LI 15）、肩髎（TE 14）、肩贞（SI 9），上肢臂臑（LI 14）、手五里（LI 13）、曲池（LI 11）等穴位针刺，并采用单拇指揉滚法推拿治疗；B组采用神经妥乐平肌肉注射治疗。观察两组治疗前后的临床疗效、症状、评分及肌电图变化。
A组总有效率为90.0%（18/20），优于B组的55.0%（11/20），两组比较差异有统计学意义（P < 0.05）。A组肌电图改善有效率为90.0%（18/20），优于B组的45.0%（9/20）（P < 0.05），且A组症状评分低于B组（P < 0.01）。
针刺结合推拿能促进产瘫臂丛神经损伤患儿神经及上肢功能恢复，其疗效优于神经妥乐平肌肉注射。
