摘要
目的探讨颈总动脉交感神经网剥脱术后脑瘫患儿脑电图及TCD监测指标的改变,分析脑功能及脑血流的变化。方法选取脑瘫患儿132例,采用随机数字表法随机分成试验组(66例)和对照组(66例),对照组仅给予常规康复治疗,试验组在常规康复治疗的基础上实施颈总动脉交感神经网剥脱术。在治疗1个月及3个月后,分别测定患儿的脑电图及大脑前动脉(ACA)、大脑中动脉(MCA)和大脑后动脉(PCA)的血流变化。结果两组患儿治疗前脑电图及大脑ACA、MCA、PCA血流的差异均无统计学意义(P>0.05)。试验组患儿治疗1个月及3个月后的脑电图及大脑ACA、MCA、PCA的血流明显优于对照组(P<0.05)。结论实施颈总动脉交感神经网剥脱术,可改善脑瘫患儿的脑功能,增强治疗效果,并提高脑瘫患儿脑内血流,改善其脑部血液循环。
Objective To study the change of electroencephalography(EEG)and transcranial doppler(TCD)monitoring indicators in cerebral palsy children,before and after the cervical perivascular sympathectomy,in order to analysis the change of brain function and cerebral blood flow.Methods 132 cases of cerebral palsy children were equally divided into 2 groups(experimental group and control group)randomly by using the random number table method.The control group was only given routine rehabilitation exercise.The experimental group was carried out cervical perivascular sympathectomy on the basis of routine rehabilitation.Before and after 1and 3 months of the treatment,the brain function and cerebral blood flow were observed by anterior cerebral artery(ACA),middle cerebral artery(MCA),posterior cerebral artery(PCA).Results Before the treatment,the children′s brain function and cerebral ACA,MCA,PCA blood flow showed no significant differences(P >0.05)between two groups.After treatment1 month and 3months,the children's brain function and cerebral blood flow of ACA,MCA,PCA in experimental group were significantly better than that of the control group(P <0.05).Conclusion The cervical perivascular sympathectomy could improve brain function and enhance the treatment effect for cerebral palsy children by enhancing cerebral blood flow and improving brainblood circulation.
引文
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