首页|调和止动方联合磁珠耳穴贴治疗儿童抽动障碍脾虚肝旺型29例临床观察

调和止动方联合磁珠耳穴贴治疗儿童抽动障碍脾虚肝旺型29例临床观察

Clinical observation on 30 cases of pediatric tic disorder with spleen deficiency and liver hyperactivity syndrome treated with the Tiaohe Zhidong Fang(调和止动方)and magnetic bead ear acupoints patch therapy

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目的 观察调和止动方联合磁珠耳穴贴治疗儿童抽动障碍脾虚肝旺型的临床疗效.方法 选取2021年6月1日至2022年12月31日于浙江中医药大学附属第一医院(浙江省中医院)儿科门诊治疗的抽动障碍脾虚肝旺型患儿60例,按照随机数字表法分为治疗组和对照组,各30例,因对照组脱落2例,治疗组失访1例,最终治疗组29例,对照组28例.对照组予盐酸硫必利片口服,治疗组予调和止动方口服联合磁珠耳穴贴治疗.2组均以4周为1个疗程,1个疗程后统计疗效.结果 治疗前2组的耶鲁综合抽动严重程度量表(YGTSS)评分及社会缺损评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组的上述评分均显著降低,与同组治疗前比较,差异有统计学意义(P<0.05),且治疗组的YGTSS评分降低更显著(P<0.05).治疗前2组的中医证候主症、次症及总积分比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组的上述积分均显著降低,与同组治疗前比较,差异均有统计学意义(P<0.05),且治疗组的次症积分及总积分降低更显著(P<0.05).治疗组的总有效率为86.21%(25/29),显著高于对照组的64.28%(18/28),2组比较,差异有统计学意义(P<0.05).结论 调和止动方联合磁珠耳穴贴治疗儿童抽动障碍脾虚肝旺型疗效确切,可显著改善临床症状,降低YGTSS评分,值得临床推广应用.
Objective To observe the clinical efficacy of the combination of Tiaohe Zhidong Fang(调和止动方)combined with magnetic bead ear acupoints patch therapy in the treatment of children of tic disorderwith spleen deficiency and liver hyperactivity syndrome.Methods Sixty children of tic disorder with spleen deficiency and liver hyperactivity who were treated at the pediatric outpatient department of the The First Affiliated Hospital of Zhe-jiangChinese Medical University(Zhejiang Hospital of Traditional Chinese Medicine)from June 1,2021 to Decem-ber 31,2022 were selected.They were randomly divided into a treatment group and a control group,with 30 cases in each group.Due to the loss of 2 cases in the control group and 1 case lost to follow-up in the treatment group,there were ultimately 29 cases in the treatment group and 28 cases in the control group.The control group was given oral administration of Thiapride Hydrochloride tablets,while the treatment group was given oral administration of Tiaohe Zhidong Fang combined with magnetic bead ear acupoints patch therapy.Both groups have a treatment period of 4 weeks,and the therapeutic effect is calculated after one treatment period.Results There was no significant differ-ence in YGTSS score and social deficit score between the two groups before treatment(P>0.05),which was compa-rable.After treatment,the above scores of the 2 groups were significantly decreased,and the difference was statisti-cally significant compared with the same group before treatment(P<0.05),and the YGTSS score of the treatment group was more significantly decreased(P<0.05).There was no significant difference in the main syndrome,sec-ondary syndrome and total score between the two groups before treatment(P>0.05),which was comparable.After treatment,the above scores of the 2 groups were significantly reduced,and the differences were statistically signifi-cant compared with those of the same group before treatment(P<0.05),and the sub-disease scores and total scores of the treatment group were more significantly decreased(P<0.05).The total effective rate of the treatment group was 86.21%(25/29),which was significantly higher than that of the control group,which was 64.28%(18/28),and the difference between the 2 groups was statistically significant(P<0.05).Conclusion The combination of Tiaohe Zhidong Fang(调和止动方)combined with magnetic bead ear acupoints therapy can significantly improve clinical symptoms,reduce YGTSS score,and have a definite therapeutic effect in the treatment of children with tic disorder of spleen deficiency and liver hyperactivity.It is worthy of clinical promotion and application.

tic disorderchildrenspleen deficiency and liver hyperactivity syndromeTiaohe Zhidong Fang(调和止动方)magnetic bead ear acupoints patch therapyclinical observation

宋艳玲、陈晓玲、王晓鸣、陈玉燕

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浙江中医药大学附属第一医院(浙江省中医院)儿科,浙江 杭州 310018

浙江中医药大学第一临床医学院,浙江 杭州 310053

抽动障碍 儿童 脾虚肝旺证 调和止动方 磁珠耳穴贴 临床观察

浙江省中医药管理局第七批省级名中医项目浙江省中医药科技计划项目

浙卫发[2018]69号2021ZA051

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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