消痫汤联合针灸治疗35例小儿癫痫疗效观察

摘要

Objective To observe the curative effect of eliminating epileptic decoction combined with acu-puncture treatment of epilepsy in children .Methods In our hospital in 2013 July to 2014 year in March 70 cases of epileptic children with occult , were randomly divided into two groups .Chinese medicine group of 35 cases were trea-ted with eliminating epileptic decoction combined with acupuncture treatment ;According to the epilepsy type , western medicine group of 35 cases were given appropriate antiepileptic drug treatment .The therapeutic effect was evaluated after 2 months.Results The total effective rate was 88.57%in traditional Chinese medicine group , and in western medicine group, the total effective rate was 74.29%(p<0.05).In group of Chinese medicine and Western medi-cine treatment, the normal rates of EEG were 20% and 17.14% (p>0.05).In the Chinese medicine group after treatment, the normal rate of 51.43%, significantly higher than the control group (p<0.05).The Chinese medicine group after treatment WISC -R score rose slightly .The differences between the two groups were not significant ( p>0.05).The western medicine group arithmetic , understanding, similar score slightly lower but the difference was not significant (p>0.05);the back number rating decreased greatly , compared with those before treatment (p<0.05). Conclusion The elimination of epileptic decoction combined with acupuncture is an effective method for treatment of children with epilepsy , and had no significant effect on intelligence .The curative effect is better than western medi-cine treatment .%目的：观察消痫汤联合针灸治疗小儿癫痫的疗效。方法选择我院2014年1～12月70例癫痫患儿，采用隐匿数字表随机法分为两组，中医组35例采用消痫汤联合针灸治疗，西医组35例根据癫痫发作类型给予合适的抗癫痫药物治疗，12个月后评价疗效。结果中医组总有效率为88．57％，西医组总有效率为74．29％（p＜0．05）。中医组和西医组治疗前脑电图正常率分别为20％和17．14％（p＞0.05）。治疗后中医组正常率为51.43％，明显高于对照组（ p＜0.05）。中医组患儿治疗后WISC－R评分略有上升，两组比较差异无显著性（p＞0.05）。西医组算术、理解、类同等评分略有降低但差异无显著性（p＞0.05）；背数评分降低幅度较大，与治疗前比较（ p＜0.05）。结论消痫汤联合针灸是治疗小儿癫痈的有效方法，且对智力无明显影响，疗效优于西药治疗。