首页|快速无痛飞针法联合自拟息风止抽膏治疗小儿抽动症风痰阻络型50例临床观察

快速无痛飞针法联合自拟息风止抽膏治疗小儿抽动症风痰阻络型50例临床观察

Clinical observation on 50 cases of pediatric tic disorder with wind phlegm entering the meridians pattern treated by rapid and painless flying needle therapy combined with self-made Xifeng Zhichou Gao(息风止抽膏)

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目的 观察快速无痛飞针法联合自拟息风止抽膏治疗小儿抽动症风痰阻络型的临床疗效.方法选取2018年4月至2020年6月于威海市中医院针灸科门诊就诊的抽动症风痰阻络型患儿100例,按照随机数字表法分为对照组和治疗组,各50例.对照组予泰必利口服,治疗组应用快速无痛飞针法联合自拟息风止抽膏口服.2组均连续治疗3个月,统计治疗后、治疗后半年和治疗后1年的疗效.结果 治疗前2组的发声抽动、运动抽动、功能受损程度评分比较,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),且治疗组降低更显著(P<0.05);治疗后半年及治疗后1年,对照组的上述评分均较同组治疗后显著上升,差异有统计学意义(P<0.05).治疗前2组的中医证候积分比较,差异无统计学意义(P>0.05);治疗后治疗组的中医证候积分显著降低,与同组治疗前比较,差异有统计学意义(P<0.05),对照组的中医证候积分降低不显著(P>0.05).治疗后半年及1年,2组的中医证候积分降低均不显著,与同组治疗后比较,差异均无统计学意义(P>0.05).治疗组的总有效率为78.00%(39/50),显著高于对照组的60.00%(30/50),2组比较,差异有统计学意义(P<0.05).结论快速无痛飞针法联合自拟息风止抽膏治疗小儿抽动症风痰阻络型,可明显改善患儿的临床症状,且远期疗效良好,值得临床推广应用.
Objective To observe the clinical efficacy of rapid and painless flying needle therapy combined with self-made Xifeng Zhichou Gao(息风止抽膏)in the treatment of pediatric tic disorder with wind phlegm ente-ring the meridians pattern.Methods A total of 100 pediatric patients with tic disorder of wind phlegm entering the meridians pattern who visited the outpatient clinic of Weihai Traditional Chinese Medicine Hospital from April 2018 to June 2020 were selected and randomly divided into a control group and a treatment group,with 50 patients in each group.The control group was treated with oral Tiapride,while the treatment group received rapid and painless flying needle therapy combined with oral self-made Xifeng Zhichou Gao.Both groups were treated continuously for 3 months,and the efficacy was evaluated after treatment,half a year after treatment,and 1 year after treatment.Results Before treatment,there was no statistically significant difference in the scores of vocal tics,motor tics,and func-tional impairment between the two groups(P>0.05),indicating comparability.After treatment,the scores of the a-bove indicators in both groups were significantly reduced,and the difference was statistically significant compared with before treatment(P<0.05),with a more significant reduction in the treatment group(P<0.05).Half a year and 1 year after treatment,the scores of the above indicators in the control group increased significantly compared with after treatment,and the difference was statistically significant(P<0.05).Before treatment,there was no statisti-cally significant difference in the traditional Chinese medicine(TCM)syndrome scores between the two groups(P>0.05).After treatment,the TCM syndrome scores in the treatment group were significantly reduced,and the difference was statistically significant compared with before treatment(P<0.05).However,the reduction in TCM syndrome scores in the control group was not significant(P>0.05).Half a year and 1 year after treatment,the reduction in TCM syndrome scores in both groups was not significant,and the difference was not statistically signifi-cant compared with after treatment(P>0.05).The total effective rate in the treatment group was 78.00%(39/50),significantly higher than that in the control group(60.00%,30/50),and the difference was statistically significant(P<0.05).Conclusion Rapid and painless flying needle therapy combined with self-made Xifeng Zhichou Gao can significantly improve the clinical symptoms of pediatric tic disorder with wind phlegm entering the meridians pattern,with good long-term efficacy,which is worthy of clinical promotion and application.

tic disorderpediatricwind phlegm entering the meridians patternrapid and painless flying needle therapyXifeng Zhichou Gao(息风止抽膏)clinical observation

刘俊蕊、王希、张丽萍

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威海市中医院针灸科,山东 威海 264200

山东黄河医院外科,山东 济南 250000

抽动症 小儿 风痰阻络型 快速无痛飞针法 自拟息风止抽膏 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(5)