中医综合疗法治疗小儿抽动障碍胆虚痰热型的临床研究  

Research of the clinical effect of combined therapy of Chinese medicine in treatment of pediatrics Tourette Syndrome(gallbladder deficiency and phlegm heat)

作　　者：潘鸿 徐荣谦[2] 王洪峰[3] 王宇峰[3] Pan Hong;Xu Rongqian;Wang Hongfeng;Wang Yufeng(Haidian hospital of traditional Chinese medicine,Beijing 100086;Dongzhimen Hospital Beijing University of Chinese Medicine,Beijing 100700;Changchun University of Chinese Medicine,Jilin Changchun 130117)

机构地区：[1]北京市海淀区中医医院,北京100086 [2]北京中医药大学东直门医院,北京100700 [3]长春中医药大学,吉林长春130117

出　　处：《中国社区医师》2020年第24期106-107,共2页Chinese Community Doctors

摘　　要：目的:观察中医综合疗法治疗小儿抽动障碍(胆虚痰热型)的临床效果及安全性。方法:将符合诊断标准的40例小儿抽动障碍(胆虚痰热型)患者随机分为观察组20例,对照组20例。对照组予口服西药泰必利片,观察组采用中医综合疗法(包括口服中药汤剂治疗、揿针、耳穴压丸),分别于治疗前、治疗第4周末、第8周末,根据耶鲁综合抽动严重程度表(YGTSS)评价病情轻重,并根据YGTSS减分率评价疗效,以不良反应量表(TESS)评定其不良反应。结果:观察组和对照组临床疗效的总有效率分别为94.44%和82.24%,观察组疗效优于对照组,但组间比较,差异无统计学意义(P>0.05);两组治疗前与治疗第4、8周后耶鲁严重程度评分比较,差异均有统计学意义(P<0.05),但两组间治疗后分值比较差异无统计学意义(P>0.05);观察组TESS评分低于对照组,且组间比较,差异有统计学意义(P<0.05)。结论:中医综合疗法治疗小儿抽动障碍(胆虚痰热型)疗效肯定,不良反应小,值得推广。Objective:To observe the clinical effect and security of combined therapy of Chinese medicine in treatment of pediatrics Tourette Syndrome(gallbladder deficiency and phlegm heat).Methods:40 patients were randomized into an observation group and a control group,20 cases in each group.In the control group,Tiapridal tablets were prescribed for oral administration.In the observation group,the combined therapy of Chinese medicine was adopted(including Oral Traditional Chinese medicine soup,thumb-tack needle for subcutaneous embedding,ear acupoint beans pressing).The score of Yale Global Tic Severity Scale(YGTSS)and Rate of YGTSS deduction was used to assess the disease severity and efficacy before and after 4 and 8 weeks of treatment separately.Treatment Emergent Symptom Scale(TESS)was used to evaluate the adverse reaction.Results:The total effective rates of observation and control groups were 94.44%and 82.24%,and the clinical efficacy of observation group was better than that in the control group.There was no significant difference between the two groups.The YGTSS scores of the two groups before and after 4 and 8 weeks have significant differences(P>0.05),but the scores were no significant differences after treatment between two groups(P>0.05);At the end of 4th and 8th weeks,TESS scores of the observation group were obviously lower than that of the control group,the comparison between two groups has significant difference(P<0.05).Conclusion:The combined therapy of Chinese medicine achieves definite efficacy on pediatrics Tourette syndrome(gallbladder deficiency and phlegm heat)and has less side effects,it is worth using widely.

关 键 词：中医综合疗法 小儿抽动障碍 胆虚痰热型 

分 类 号：R277.7[医药卫生—中医学]