中医治疗儿童慢性炎症性脱髓鞘性多发性神经病1例
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TCM in the Treatment of Childhood Chronic Inflammatory Demyelinating Polyneuropathy:A Case Report
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    目的:分析运用针药结合治疗6岁缓解-复发型慢性炎性脱髓鞘性多发性神经病(CIDP)患儿1例的临床效果,为CIDP的防治提供新思路。方法:自2015年10月1日起,患儿接受中医针刺及中药治疗3个月。患儿自接诊至疗后随访15个月,对针药结合治疗效果和复发情况作出客观评价。结果:患儿各项功能指标上升,随访15个月未复发。Hughes神经肌肉功能评分正常,Barthel指数评分示日常生活活动能力正常,四肢肌力Ⅴ级,体质量增加3 kg。结论:本病例报告结果发现针药结合治疗儿童缓解-复发型慢性炎症性脱髓鞘性多发性神经病疗效显著,可有效控制复发。

    Abstract:

    This paper introduced 1 case of applying acupuncture and Chinese herbal medicine in treating a 6-year-old child with relapsing-remitting chronic inflammatory demyelinating polyneuropathy (CIDP), which provided a new idea for preventing and treating CIDP. Methods:The child has received acupuncture combined with Chinese herbal medicine treatment for 3 months since October 1, 2015. A total of 15 months' follow-up was closely recorded from the admission to after treatment, and an objective assessment on therapeutic effect of acupuncture combined with Chinese herbal medicine and recurrence was made. Results:All the indexes of the child were improved, and there was no recurrence in 15 months' follow-up. Hughes index score was normal, and Barthel index score showed normal activities of daily living capacity, with limb muscle strength V, and a 3 kg increase in weight. Conclusion:Acupuncture combined with Chinese herbal medicine treating children with relapsing-remitting CIDP has significant curative efficacy and can effectively prevent recurrence. It can be used to verify a large sample in the future, so as to provide a new view to the prevention and treatment for CIDP.

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董莎,胡凌娟,辛祺亮,辛随成.中医治疗儿童慢性炎症性脱髓鞘性多发性神经病1例[J].世界中医药,2018,(01).

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  • 收稿日期:2017-02-23
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  • 在线发布日期: 2018-01-22
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