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速刺法治疗小儿多发性抽动症的临床效果及安全性

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目的:探讨小儿多发性抽动症采用速刺法治疗的临床效果以及治疗的安全性。方法:选取 2020 年 1 月—2023年 5 月福建中医药大学附属人民医院收治的 74 例多发性抽动症患儿作为研究对象,按双盲法分为对照组和试验组,每组各37 例。对照组患儿采用盐酸硫必利片进行治疗,试验组患儿采用速刺法进行治疗。比较两组治疗总有效率、中医症候积分、抽动和不良反应发生情况。结果:相较于对照组,试验组治疗后精神倦怠、运动抽动、烦躁易怒等中医症候评分降幅更明显,差异有统计学意义(P<0。05);试验组治疗后总有效率高于对照组,差异有统计学意义(P<0。05)。相较于对照组,试验组治疗后发生抽动情况的减轻幅度更明显,差异有统计学意义(P<0。05);试验组不良反应发生率低于对照组,差异有统计学意义(P<0。05)。结论:速刺法在小儿多发性抽动症治疗中效果显著,可有效缓解患儿的临床症状,减少抽动情况的发生,且治疗安全性高。
Clinical Efficacy and Safety of the Quick-prick Method in the Treatment of Pediatric Multiple Tic Disorders
Objective:To investigate the clinical efficacy of pediatric multiple tic disorders treated with tachyphylaxis and the safety of the treatment.Method:74 children with multiple tic disorders admitted to the People's Hospital of Fujian University of Traditional Chinese Medicine from January 2020 to May 2023 were randomly selected as the study subjects,and were divided into the control group and the experimental group according to the double-blind method,with 37 cases in each group.The children in the control group were treated with thiabendazole hydrochloride tablets,and the children in the experimental group were treated with the rapid stabbing method.The total effective rate of treatment,Chinese medicine symptom score,tics and the occurrence of adverse reactions were compared between the two groups of children.Result:Compared with the control group,the scores of traditional Chinese medicine symptoms such as mental burnout,motor twitching,irritability and irritability were significantly reduced in the experimental group after treatment,and the difference was statistically significant(P<0.05).The total effective rate of children in the experimental group was higher than that of the control group after treatment,and the difference was statistically significant(P<0.05).Compared with the control group,the children in the experimental group had a more significant reduction in tic after treatment,and the difference was statistically significant(P<0.05).The incidence of adverse reactions was lower in the experimental group than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Rapid-prick method is effective in the treatment of pediatric multiple tic disorders,which can effectively alleviate the clinical symptoms of children,reduce tics,and has high therapeutic safety.

Pediatric multiple tourette syndromeRapid needling methodClinical effectsSafety

郑泳冰、林龄、张蕴

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福建中医药大学附属人民医院 福建 福州 350004

福建技术师范学院教育学院

福建省中医药科学院

小儿多发性抽动症 速刺法 临床效果 安全性

全国名老中医药专家传承工作室建设项目第七批全国老中医药专家学术经验继承项目

国中医药人教函[2022]75号国中医药人教函[2022]76号

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(24)