首页|重复经颅磁刺激联合针刺治疗儿童抽动障碍的疗效观察

重复经颅磁刺激联合针刺治疗儿童抽动障碍的疗效观察

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目的 观察重复经颅磁刺激(rTMS)联合针刺对儿童抽动障碍(TD)的疗效和安全性。方法 选取浙江中医药大学附属嘉兴中医院康复科2021年6月至2022年6月接诊的60例TD儿童,随机分为对照组(针刺)和观察组(rTMS+针刺治疗),连续治疗8周。分别于治疗前、治疗第4周末、治疗第8周末采用耶鲁综合抽动严重程度量表(YGTSS)和临床疗效总评量表(CGI)进行评估和疗效分析,同时观察两组不良反应。结果 两组患儿耶鲁综合抽动严重程度量表(YGTSS)评分,治疗前与治疗第4周末相当(P>0。05);观察组治疗第8周末低于对照组(P<0。05),观察组有效率86。67%,对照组有效率60。0%,两组不良反应发生率均为10%。结论 rTMS联合针刺治疗儿童TD疗效满意,安全性较好,不良反应少,值得临床推广应用。
Objective To observe the efficacy and safety of repetitive transcranial magnetic stimulation(rTMS)combined with acupuncture in children with Tic Disorder(TD).Methods A total of 60 children with TD who received treatment from June 2021 to June 2022 in the Department of Rehabilitation,Jiaxing Hospital of Traditional Chinese Medicine,Zhejiang University of Traditional Chinese Medicine were randomly divided into the control group(acupuncture)and the treatment group(rTMS+ acupuncture)for 8 weeks.Yale Global Tic Severity Scale(YGTSS)and Clinical Global Impression(CGI)were used to evaluate and analyze the efficacy before the treatment,at the end of the 4th week and the 8th week of the treatment.Adverse reactions in both groups were simultaneously monitored.Results The YGTSS scores in both groups were comparable before the treatment and at the end of the 4th week(P>0.05).However,by the end of the 8th week,the treatment group showed significantly lower scores than the control group(P<0.05).The treatment group exhibited an efficacy rate of 86.7%,compared to 60.0%in the control group.The incidence of adverse reactions in both groups was 10%.Conclusion rTMS combined with acupuncture is significantly better than the control group in the treatment of tic disorder in children,demonstrating a favorable safety profile.This approach holds promise for broader clinical application.

Repetitive transcranial magnetic stimulationAcupunctureTic DisorderClinical study

康赵颖、占道伟、陈忠强、钱立锋、金文杰

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314000 浙江中医药大学附属嘉兴中医院

重复经颅磁刺激 针刺 抽动障碍 临床研究

浙江省医药卫生科技计划浙江中医药大学校级科研项目附属医院科研专项

2021KY11262022FSYYZQ20

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(4)
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