脑硬膜颞浅动脉血管融通术联合中频电疗仪对缺血性烟雾病患儿的临床疗效

Clinical efficacy of encephaloduroarteriosynangiosis combined with intermediate frequency electrotherapy in children with ischemic moyamoya disease

  • 摘要:
      目的  观察缺血性烟雾病患儿采用脑硬膜颞浅动脉血管融通术(EDAS)联合中频电疗仪的临床疗效及对预后的影响。
      方法  选择50例缺血性烟雾病患儿作为研究对象,采用随机数余数分组法分为对照组与治疗组,每组25例。对照组采用EDAS治疗,治疗组在对照组基础上实施中频电疗仪治疗。采用颅多普勒超声检查技术检测患儿治疗后颈内外动脉的血流流速,比较2组神经功能、肢体功能及生活能力,并观察2组的临床疗效。
      结果  治疗后,治疗组颈内动脉、颈外动脉分支、改良Rankin量表(mRS)评分低于对照组,差异有统计学意义(P < 0.05)。治疗1个月后,治疗组Brunnstrom评分、Fugl-Meyer运动功能评定量表(FMA)评分、Barthel指数(BI)评分与对照组比较,差异有统计学意义(P < 0.05)。治疗组治疗总有效率高于对照组,差异有统计学意义(P < 0.05)。
      结论  缺血性烟雾病采用中频电疗仪联合EDAS治疗效果明显优于单纯EDAS治疗,能够有效改善患儿术后神经功能、肢体功能及生活能力。

     

    Abstract:
      Objective  To observe the clinical efficacy of encephaloduroarteriosynangiosis (EDAS) combined with intermediate frequency electrotherapy in children with ischemic moyamoya disease.
      Methods  A total of 50 patients with ischemic moyamoya disease were selected as study objects, and were randomly divided into control group and treatment group according to random number remainder grouping method, with 25 cases in each group. The control group was treated with EDAS, and the treatment group was treated with intermediate frequency electrotherapy instrument on the basis of the control group. The blood flow velocity of the internal and external carotid arteries was detected by transcranial Doppler ultrasonography, and the nerve function, limb function and living ability of the two groups were compared, and the clinical efficacy of the two groups was observed.
      Results  After treatment, the internal carotid artery, external carotid artery branch and modified Rankin scale (mRS) score in the treatment group were lower than those in the control group(P < 0.05). After 1 month of treatment, Brunnstrom score, Fugl-Meyer Assessment Scale (FMA) score and Barthel index (BI) score in the treatment group showed significant difference compared with those in the control group (P < 0.05). The total effective rate in the treatment group was higher than that in the control group (P < 0.05).
      Conclusion  Compared with EDAS therapy alone, medium frequency electrotherapy and EDAS therapy is more effective in improving the neurological function, limb function and living ability of patients with ischemic moyamoya disease.

     

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