首页|归脾汤加减治疗儿童学习困难型多动症的临床研究

归脾汤加减治疗儿童学习困难型多动症的临床研究

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目的 观察归脾汤加减治疗儿童学习困难型多动症的临床疗效。方法 91名符合DSM-Ⅳ儿童多动症标准的学习困难儿童,按照治疗方法分为两组,研究组45人,对照组46人。对照组进行心理行为矫正治疗,研究组在心理行为矫正治疗基础上口服加减归脾汤治疗。治疗2个月后,对两组疗效进行观察,采用Conners儿童行为问卷和Weiss功能性缺陷量表对治疗结果进行分析。结果 Conners评分结果发现,研究组总有效率(88。89%)明显高于对照组(65。22%)(P<0。01);与对照组比较,治疗前研究组Conners评分无明显差异(P>0。05),治疗2个月后,研究组Conners评分明显降低(P<0。01);治疗后研究组各项多动症问题得分明显降低,多动症儿童学习困难情况有明显改善(P<0。01)。Weiss评分结果发现,治疗后,研究组的Weiss功能性缺陷量表各项指标评分均低于对照组,差异有统计学意义(P<0。05)。结论 归脾汤加减治疗儿童学习困难型多动症有显著疗效,值得进一步推广应用。
Clinical Study of Guipi Decoction in Treatment of Children with Learning Diffi culties and Hyperactivity
Objective To observe the clinical effect of Guipi Decoction on children with learning difficulties and hyperactivity.Methods 91 children with learning difficulties who met the DSM-Ⅳ children's ADHD criteria were divided into two groups according to treat-ment methods,45 in the study group and 46 in the control group.The control group received psycho-behavioral correction treatment,and the study group received oral treatment with Guipi Decoction on the basis of psycho-behavioral correction treatment.After 2 months of treatment,the therapeutic effects of the two groups were observed,and the therapeutic results were analyzed using Conners child behavior questionnaire and the Weiss Functional Deficit Scale.Results The results of Conners score showed that the total effective rate in the study group(88.89%)was significantly higher than that in the control group(65.22%)(P<0.01).Compared with the control group,the Conners score of the study group had no significant difference before treatment P>0.05),and the Conners score of the study group was sig-nificantly decreased after 2 months of treatment(P<0.01).After treatment,the scores of ADHD problems in the study group were signifi-cantly reduced,and the learning difficulties of children with ADHD were significantly improved(P<0.01).Weiss score results showed that after treatment,Weiss Functional Deficit Scale scores of the study group were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Guipi Decoction has the significant curative effect on children with learning difficul-ties and hyperactivity,which is worthy of further popularization and application.

Guipi Decoctionhyperactivitylearning difficulty

曲振廷、叶关毅、李环、徐小磊、李素芬

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吉林省吉林中西医结合医院,吉林吉林 132012

松阳县中医院,浙江丽水 323400

北华大学公共卫生学院,吉林吉林 132013

广西中医药大学第一附属医院,南宁 530022

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归脾汤 多动症 学习困难

国家中医药局全国中医(西学中)优秀人才研修项目(第四批)吉林省中医药局道地药材生精保护作用重点研究室建设项目吉林省中医药局抗衰老中药重点研究室建设项目

国中医药人教发[2019]13号2022-Z-722022-Z-73

2024

吉林医药学院学报
吉林医药学院

吉林医药学院学报

影响因子:0.459
ISSN:1673-2995
年,卷(期):2024.45(3)
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