Zhang Rui, Chen Yali, Huang Wanfen. Early Intervention in Birth Brachial Palsy[J]. Modern Chinese Clinical Medicine, 2003,0(2):41-43.DOI：
产伤性臂丛神经麻痹的早期干预
摘要
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。
Abstract
Objective The curative effect of early intervention in birth brachial Palsy （BBP） was discussed. Method Fifty-seven infants under 6 months with BBP were intervened early by massage
block injection around the brachial plexus
acupuncture and other therapies. Result Out of 57 cases
37 were re-examined within 6～12 months. Among them 30 cases were diagnosed as Erb’s Palsy. The results of treatment were as follows: 21 cases （70.0%） regained full nervous function
8 （26.7%） were improved
and only 1 （3.3%） showed no improvement at all. The effective rate was 96.7%. The remaining 7 cases who were re-examined were diagnosed as Erb-Klumpke Palsy. After early intervention
5 cases （71.4%） showed some improvement in nervous function and 2 （28.6%） were not improved at all. The effective rate was 71.4%. Conclusion Application of early intervention upon diagnosis will result in improved prognosis and increased cure rate for infants with BBP.
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