首页|芍麻止痉颗粒联合心理干预治疗儿童抽动障碍肝亢风动型36例临床观察

芍麻止痉颗粒联合心理干预治疗儿童抽动障碍肝亢风动型36例临床观察

Clinical observation on the combination of Shaoma Zhijing Granules(芍麻止痉颗粒)and psychological intervention in the treatment of 36 children with Tourette syndrome of liver hyperactivity and wind movement type

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目的 观察芍麻止痉颗粒联合心理干预治疗儿童抽动障碍(TD)肝亢风动型的临床疗效.方法 选取2021年2月至2023年2月在石河子大学第一附属医院儿科门诊治疗的72例TD肝亢风动型患儿作为研究对象,采用随机数字表法分为对照组和治疗组,各36例.对照组给予芍麻止痉颗粒口服,治疗组在对照组治疗方法的基础上开展每周1次的心理干预治疗,2组均治疗8周后统计临床疗效.结果 治疗组眨眼、耸肩、摇头、清嗓子症状改善时间均短于对照组,2组比较,差异有统计学意义(P<0.05).治疗前2组耶鲁综合抽动严重程度量表(YGTSS)评分、中医证候评分和儿童自我意识评价量表(PHCSS)评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组YGTSS评分、中医证候评分均显著下降,PHCSS评分显著升高,与同组治疗前比较,差异有统计学意义(P<0.05),且治疗组下降或升高更显著(P<0.05).治疗组YGTSS评分、中医证候评分总有效率分别为94.44%(34/36),97.22%(35/36),显著高于对照组的83.33%(30/36),86.11%(31/36),2组比较,差异均有统计学意义(P<0.05).结论 芍麻止痉颗粒联合心理干预治疗儿童TD肝亢风动型具有显著疗效,可明显改善临床症状,提高患儿的自我意识水平,值得临床推广应用.
Objective To observe the clinical efficacy of Shaoma Zhijing Granules(芍麻止痉颗粒)combined with psychological intervention in the treatment of children with Tourette syndrome of liver hyperactivity and wind movement type.Methods A total of 72 children with Tourette syndrome of liver hyperactivity and wind movement type who were treated in the pediatric outpatient department of the First Affiliated Hospital of Shihezi University from February 2021 to February 2023 were selected as the study subjects.They were randomly divided into a control group and a treatment group,with 36 cases in each group.The control group was given oral administration of Shaoma Zhijing Granules,while the treatment group received psychological intervention once a week based on the treatment method of the control group.After 8 weeks of treatment,both groups were statistically analyzed for clinical efficacy.The improvement time of symptoms such as blinking,shrugging,shaking the head,and clearing the throat in the treatment group was shorter than that in the control group,and the difference between the two groups was statistically significant(P<0.05).There was no statistically significant difference(P>0.05)in the scores of the Yale Tourette Syndrome Severity Scale(YGTSS),traditional Chinese medicine syndrome scale,and Children's Self Awareness Scale(PHCSS)between the two groups before treatment,indicating comparability;After treatment,the YGTSS score and traditional Chinese medicine syndrome score in both groups significantly decreased,while the PGCSS score significantly increased.Compared with the same group before treatment,the difference was statistically signifi-cant(P<0.05),and the treatment group showed a more significant decrease or increase(P<0.05).The total effec-tive rates of YGTSS score and traditional Chinese medicine syndrome score in the treatment group were 94.44%(34/36)and 97.22%(35/36),respectively,significantly higher than 83.33%(30/36)and 86.11%(31/36)in the control group.The differences between the two groups were statistically significant(P<0.05).Conclusion The combination of Shaoma Zhijing Granules and psychological intervention has a significant therapeutic effect on chil-dren with Tourette syndrome of liver hyperactivity and wind movement type,which can significantly improve clinical symptoms and enhance the self-awareness level of children.It is worthy of clinical promotion and application.

childrenTourette syndromeShaoma Zhijing Granules(芍麻止痉颗粒)psychological interven-tionclinical observation

陈波、甘霞、刘青

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石河子大学第一附属医院儿科,新疆 石河子 832000

石河子大学第一附属医院中医一科,新疆 石河子 832000

石河子大学医学院,新疆 石河子 832000

儿童 抽动障碍 芍麻止痉颗粒 心理干预 临床观察

2024

中医儿科杂志
甘肃中医学院,中华中医药学会

中医儿科杂志

影响因子:0.82
ISSN:1673-4297
年,卷(期):2024.20(2)
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