中医治疗儿童慢性炎症性脱髓鞘性多发性神经病1例

摘要

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.%Objective: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.