儿童多动症中医临床路径的应用效果分析  

Analysis of Applying Chinese Medical Clinical Pathway for Treating Attention-deficit Hyperactivity Disorder

作　　者：郭玉清[1] 韩新民[1,2] 朱先康[2] 周正[3] 马丙祥[3] 张葆青[4] 李燕宁[4] 封玉琳[5] 薛征[5] 汪永红[6] 李一民[7] 姜志梅[8] 徐金星 岳维真[10] 向希雄[10] 

机构地区：[1]南京中医药大学,南京210029 [2]江苏省中医院儿科,南京210029 [3]河南中医学院第一附属医院儿科,郑州450000 [4]山东中医药大学附属医院儿科,济南250011 [5]上海市中医医院儿科,上海200071 [6]复旦大学附属儿科医院中医科,上海201102 [7]江苏省江阴市中医院儿科,江苏214400 [8]佳木斯大学附属第三医院儿科,黑龙江154002 [9]黑龙江省大庆市中医院儿科,大庆163311 [10]湖北省中医院儿科,武汉430074

出　　处：《中国中西医结合杂志》2015年第12期1469-1473,共5页Chinese Journal of Integrated Traditional and Western Medicine

摘　　要：目的评价儿童多动症中医临床路径的应用效果,为进一步完善儿童多动症中医临床路径提供依据。方法选择2011年12月—2012年12月在9家协作组医院儿科门诊就诊的270例儿童多动症患儿,按照中医临床路径治疗方案进行辨证施治,疗程3个月,比较治疗前后注意缺陷与多动障碍量表及行为量表积分、多动指数及中医证候积分变化。通过中医证候及疾病疗效判定标准,评价不同性别、年龄及病程患儿的疗效差异。结果进入路径的270例患儿中有15例退出,实际完成研究255例。与治疗前比较,治疗后患儿注意缺陷与多动障碍量表及行为量表总积分、注意缺陷与多动障碍量表积分、多动指数及中医证候积分明显下降(均P<0.01)。患儿疾病疗效评价总有效率为87.8%(224/255),中医证候疗效评价总有效率为87.5%(223/255)。分别从中医证候或疾病疗效判定标准进行统计学分析,路径中治疗方案的临床疗效不受性别、年龄、病程的影响。结论采用中医临床路径对多动症患儿进行干预可改善患儿注意缺陷与多动症状,其疗效不受性别、年龄、病程影响。Objective To evaluate the application effect of Chinese medical clinical pathway for treating attentiondeficit hyperactivity disorder（ ADHD）,and to provide evidence for further improving clinical pathways. Methods Totally270 ADHD children patients were recruited and treated at pediatrics clinics of 9 cooperative hospitals from December 2011 to December 2012. The treatment course for all was 3 months. Scores of attention deficit and hyperactivity rating scale,scores of behavior,Conners index of hyperactivity（ CIH）,and Chinese medical syndrome scores were compared between before and after treatment. The efficacy difference in various sexes,ages,and disease courses were evaluated by judging standards for Chinese medical syndrome and ADHD. Results Fifteen children patients who entered clinical pathway dropped out,and the rest 255 completed this trial. Compared with before treatment,total scores of attention deficit and hyperactivity rating scale,scores of attention deficit and hyperactivity rating scale,CIH,and Chinese medical syndrome scores obviously decreased（ all P〈0. 01）. The total effective rate in disease efficacy was 87. 8%（ 224 /255 cases）,and the total effective rate in Chinese medical syndrome curative effect was 87. 5%（ 223 /255 cases）. The clinical curative effect was not influenced by age,gender,or course of disease when statistically analyzed from judging standards for Chinese medical syndrome or for disease efficacy. Conclusion Intervention by Chinese medical clinical pathway could improve ADHD patients＇ symptoms,and its efficacy was not influenced by sex,age,or course of disease.

关 键 词：儿童多动症 中医疗法 临床路径 

分 类 号：R277.7[医药卫生—中医学]