首页|桑叶钩藤汤辅助治疗儿童抽动障碍肝亢风动证43例临床观察

桑叶钩藤汤辅助治疗儿童抽动障碍肝亢风动证43例临床观察

Clinical observation on Sangye Gouteng Tang(桑叶钩藤汤)as an adjuvant treatment for 43 cases of tic disorder in children with syndrome of liver hyperactivity and stirring wind

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目的 观察桑叶钩藤汤辅助治疗儿童抽动障碍(TD)肝亢风动证的临床疗效.方法 选取2021年7月至2022年10月在河南大学第一附属医院儿科就诊的TD肝亢风动证患儿86例,按照随机数字表法分为对照组和治疗组,各43例.对照组予氟哌啶醇片口服联合耳穴贴压,治疗组在对照组治疗方法的基础上予桑叶钩藤汤治疗,2组均以1个月为1个疗程,连续治疗3个疗程后统计临床疗效.结果 治疗前,2组中医主症评分、次症评分和总评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组主症评分、次症评分和总评分均显著下降,与同组治疗前比较,差异有统计学意义(P<0.01),且治疗组下降更显著(P<0.05).治疗前,2组血清叶酸和视黄醇结合蛋白(RBP)水平比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组血清RBP水平显著下降,叶酸水平显著升高,与同组治疗前比较,差异均有统计学意义(P<0.05),且治疗组下降或升高更显著(P<0.05).治疗前2组耶鲁综合抽动严重程度量表(YGTSS)各项评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组YGTSS各项评分均显著下降,与同组治疗前比较,差异均有统计学意义(P<0.01),且治疗组下降更显著(P<0.05).结论 桑叶钩藤汤辅助治疗儿童TD肝亢风动证疗效显著,可以有效改善患儿临床症状,降低血清RBP水平,升高叶酸水平,值得临床推广应用.
Objective To observe the clinical efficacy of Sangye Gouteng Tang as an adjunctive therapy for children with Tic disorder(TD)with liver hyperactivity and stirring wind syndrome.Methods 86 children of TD with liver hyperactivity and stirring wind syndrome who visited the Department of Pediatrics at the First Affiliated Hospital of Henan University from July 2021 to October 2022 were randomly divided into a control group and a treatment group,with 43 cases in each group,using a random number table method.The control group received oral administration of haloperidol tablets combined with ear acupoint pressure,while the treatment group received treat-ment with Sangye Gouteng Tang on the basis of the control group's treatment method.Both groups were treated for one month as a course of treatment,and the clinical efficacy was calculated after three consecutive courses of treat-ment.Before treatment,there was no statistically significant difference in the main symptom score,secondary symp-tom score,and total score between the two groups(P>0.05),indicating comparability.After treatment,the main symptom score,secondary symptom score,and total score of both groups significantly decreased.Compared with the same group before treatment,the difference was statistically significant(P<0.05),and the treatment group showed a more significant decrease(P<0.05).Before treatment,there was no statistically significant difference(P>0.05)in the levels of serum folate and retinol binding protein(RBP)between the two groups,indicating comparability.Af-ter treatment,the serum RBP levels in both groups significantly decreased and folate levels significantly increased.Compared with the same group before treatment,the differences were statistically significant(P<0.01),and the treatment group showed a more significant decrease or increase(P<0.05).There was no statistically significant difference(P>0.05)in the scores of the Yale Tourette Syndrome Severity Scale(YGTSS)between the two groups before treatment,indicating comparability.After treatment,the YGTSS scores of both groups significantly decreased,and compared with the same group before treatment,the differences were statistically significant(P<0.01),and the treatment group showed a more significant decrease(P<0.05).Conclusion Sangye Gouteng Tang as an adjuvant treatment can effectively improve clinical symptoms,reduce serum RBP levels,and increase folate levels in children with TD liver hyperactivity and stirring wind syndrome,with significant therapeutic effects.It is worthy of clinical promotion and application.

Tic disorderchildrenlive hyperactivity and stirring wind syndremeSangye Gouteng Tang(桑叶钩藤汤)clinical observation

吕民英、张宏、付晓梅、孟凡威

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河南大学第一附属医院儿科,河南 开封 475000

抽动障碍 儿童 肝亢风动证 桑叶钩藤汤 临床观察

开封市科技发展计划项目

1903059

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(4)
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