疏肝活络养阴法治疗儿童多发性抽动症54例临床观察  

Clinical observation of 54 children with Tourette syndrome treated by soothing the liver,activating collaterals and nourishing Yin method

作　　者：李贵平[1] 曹晓宽[1] 

机构地区：[1]泸州医学院附属中医医院儿科,四川泸州646000

出　　处：《泸州医学院学报》2013年第5期470-472,共3页Journal of Luzhou Medical College

基　　金：泸州市科技计划项目(2011-290)

摘　　要：目的：比较中药疏肝活络养阴法和氟哌啶醇治疗儿童多发性抽动症的临床疗效。方法：将108例儿童多发性抽动症患儿随机分为中药治疗组54例和西药对照组54例，中药治疗组每次50~100ml，1日3次，每日1剂：西药对照组口服氟哌啶醇冶疗，2组均治疗8周。按照耶鲁综合抽动严重程度量表（YGTSS）标准进行疗效评价，并观察治疗前后疗效及。结果：两组治疗前后自身对照YGTSS评分比较差异有统计学意义（P〈0．05），组间比较差异无统计学意义（P〉0．05）。两组疗前疗后用尼莫地平法评分，中药治疗组总有效率为87．04％，西药对照组总有效率为83．33％，2组间疗效对比差异无统计学意义（P〉0．05）。结论：中药疏肝活络养阴法治疗儿童多发性抽动症较之西药氟哌啶醇可取得相当的临床疗效，鉴于西药氟哌啶醇副作用较大，笔者建议可在临床上使用中药疏肝活络养阴法治疗本病。Objective： To compare the clinical curative effect of Haloperidol and the Chinese herbs of sooth- ing the liver, activating collterals and nourishing ~in on children with Tourette syndrome. Methods ：108 cases of children with Tourette syndrome were randomly divided into treatment group （54 cases）, received Chinese herbs decoction, and control group （54 cass）, received oral haloperidol. Yale YGTSS was used to evaluate the treatment effect. Results： YGTSS rating of both groups before and after treatment had significant difference （P 〈 0.05）, but no significant difference was found between the two groups after treatment （P 〉 0.05）. The total effective rate of the treatment group and control group was 87.04% and 83.33%, with no significant difference. Conclusion： Chinese medicine and Western medicine haloperidol in the treatment of Tourette syndrome in children may make comparable clinical efficacy, but the clinical side effects of Chinese medicines are significantly less than haloperidol,which is worth to be recommended.

关 键 词：儿童多发性抽动症 疏肝活络养阴法 氟哌啶醇 临床疗效 

分 类 号：R246.4[医药卫生—针灸推拿学]