首页|"疏肝健脾"针法结合小儿推拿治疗脾虚肝旺型抽动障碍患儿的疗效

"疏肝健脾"针法结合小儿推拿治疗脾虚肝旺型抽动障碍患儿的疗效

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目的 观察"疏肝健脾"针法结合小儿推拿治疗脾虚肝旺型抽动障碍患儿的临床疗效.方法 78例脾虚肝旺型抽动障碍患儿随机分为治疗组和对照组,每组39例.对照组予心理行为疗法治疗,每周2次;治疗组在对照组基础上加用"疏肝健脾"针法结合小儿推拿治疗,每周3次;两组均治疗4周.比较两组治疗前、治疗后即刻和治疗后1个月耶鲁综合抽动严重程度量表(YGTSS)评分和中医证候积分量表评分以及临床疗效,记录两组不良反应发生情况.结果 治疗前两组YGTSS评分和中医证候积分量表评分比较均无统计学差异(P>0.05).治疗后即刻和治疗后1个月两组YGTSS评分和中医证候积分量表评分均较治疗前降低(P<0.05),且治疗组均低于对照组(P<0.05).治疗组总有效率高于对照组(92.31%vs.61.54%)(P<0.05).两组均无明显不良反应.结论 在心理行为疗法基础上,加用"疏肝健脾"针法结合小儿推拿能改善脾虚肝旺型抽动障碍患儿的症状,提高生活质量.
Efficacy of"Shugan Jianpi"acupuncture combined with pediatric massage in treatment of children with spleen deficiency and liver hyperactivity type tic disorders
Objective To observe the clinical efficacy of"Shugan Jianpi"acupuncture combined with pediatric massage in the treatment of the children with spleen deficiency and liver hyperactivity type tic disorders.Methods Seventy-eight children with spleen deficiency and liver hyperactivity type tic disorders were randomly divided into two groups with 39 cases each.Group C received psychological and behavioral therapy twice a week.Group A received"Shugan Jianpi"acupuncture combined with pediatric massage three times a week on the basis of group C.Both groups were treated for 4 weeks.The scores of Yale Global Tic Severity Scale(YGTSS)and traditional Chinese medicine(TCM)syndrome scale and clinical efficacy before treatment(T0),immediately after treatment(T1)and one month after treatment(T2)were compared between the two groups.The occurrence of adverse reactions in two groups was recorded.Results There were no significant differences in YGTSS score and TCM syndrome scale score between the two groups at T0(P>0.05).YGTSS score and TCM syndrome scale score were lower at T1 and T2 than those at T0 in both groups(P<0.05),which in group A were lower than those in group C(P<0.05).The total effective rate of group A was higher than that of group C(92.31%vs.61.54%)(P<0.05).No significant adverse reactions occurred in both groups.Conclusion On the basis of psychological and behavioral therapy,additionally use of"Shugan Jianpi"acupuncture combined with pediatric massage can improve the symptoms and quality of life in the children with spleen deficiency and liver hyperactivity type tic disorders.

"Shugan Jianpi"acupunctureMassageTic disordersChildren

刘晓蒙、王国鑫、戴琪、胡幼芳、薛明新

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210029 江苏,南京医科大学第一附属医院(江苏省妇幼保健院)儿童保健科

南京医科大学附属南京医院针灸科

210029 江苏,南京医科大学第一附属医院(江苏省妇幼保健院)针灸科

"疏肝健脾"针法 推拿 抽动障碍 儿童

2024

江苏医药
江苏省人民医院(南京医科大学第一附属医院)

江苏医药

影响因子:0.707
ISSN:0253-3685
年,卷(期):2024.50(12)