首页|可乐定联合维生素D3治疗儿童抽动障碍疗效分析及对神经免疫功能的影响

可乐定联合维生素D3治疗儿童抽动障碍疗效分析及对神经免疫功能的影响

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目的 探讨可乐定联合维生素D3治疗儿童抽动障碍的疗效及其对神经免疫功能的影响.方法 选取抽动障碍患儿70例,随机均分为对照组(可乐定治疗)及观察组(可乐定联合维生素D3治疗).比较两组治疗效果、治疗前后耶鲁综合抽动严重程度量表(YGTSS)评分、美国脊髓损伤学会神经功能评定量表(ASIA)评分及治疗前后外周血神经递质相关指标、T淋巴细胞及其亚群表达水平.结果 观察组治疗总有效率高于对照组(P<0.05).与治疗前比较,治疗后两组YGTSS评分下降,ASIA评分升高;且观察组较对照组变化更为显著(P<0.05).与治疗前比较,治疗后两组外周血多巴胺(DA)、5-羟色胺(5-HT)、去甲肾上腺素(NE)、高香草酸(HVA)、谷氨酸(Glu)和天冬氨酸(Asp)含量均下降,且观察组5-HT、HVA、Glu和Asp低于对照组,而DA和NE高于对照组(P<0.05).与治疗前比较,治疗后两组总T淋巴细胞、Th淋巴细胞、Th/Ts升高,Ts淋巴细胞降低,且观察组较对照组变化更为显著(P<0.05).结论 可乐定联合维生素D3应用于小儿抽动障碍治疗可以显著改善神经免疫功能,提高治疗效果,值得临床推广应用.
Analysis of therapeutic effects of clonidine combined with vitamin D3 in the treatment of chil-dren with tic disorder and their influence on neuroimmune function
Aim To study the clinical effects of clonidine combined with vitamin D3 in the treatment of tic disorders and their effects on neuroimmune function in children.Methods A total of 70 children with tic disorders were randomly divided into the control group(clonidine treatment)and the observation group(clonidine combined with vitamin D3 treatment).The therapeutic effects,Yale global tourette scale(YGTSS)score and American spinal injury association(ASIA)score before and after treatment,and the related indicators of neurotransmitters,as well as the expression levels of T lymphocytes and their subsets in peripheral blood before and after treatment,were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).Compared with the scores before treatment,the YGTSS scores of both groups de-creased and the ASIA scores increased after treatment,and the changes in the observation group were more significant than those in the control group(P<0.05).Compared with the levels before treatment,the levels of dopamine(DA),5-hydroxytryptamine(5-HT),norepinephrine(NE),homovanillic acid(HVA),glutamic acid(Glu),aspartic acid(Asp)in peripheral blood of both groups de-creased after treatment,and the levels of 5-HT,HVA,and Glu,Asp in the observation group were lower than those in the control group,while DA and NE were higher than those in the control group(P<0.05).Compared with the situations before treatment,the total T lymphocytes,Th lymphocytes,and Th/Ts in both groups increased after treatment,while Ts lymphocytes decreased,and the changes in the observation group were more significant than those in the control group(P<0.05).Conclusion When used to treat children with tic disorders,clonidine combined with vitamin D3 can significantly improve neuroimmune function and therapeutic effects,which is worthy of promotion and application.

clonidinevitamin D3childhood tourette disordersneuroimmune function

董菲艳、卓晓峰、陈竞建、郑涛、李希

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宁德师范学院附属宁德市医院 福建医科大学宁德临床医学院儿科,福建宁德 352100

可乐定 维生素D3 儿童抽动障碍 神经免疫功能

宁德市自然科学基金联合项目

2022j10

2024

中南医学科学杂志
南华大学

中南医学科学杂志

CSTPCD
影响因子:0.757
ISSN:2095-1116
年,卷(期):2024.52(5)