Clinical observation of tuina manipulations for tic disorders in kids  

推拿手法治疗儿童抽动障碍临床观察

作　　者：Zhang Yong-ming Wang Jia-rong Guo Fang-kai Yan Yan-ning Gong Shu-hui 张永明;王佳荣;郭方凯;闫彦宁;龚树辉;洪珏(翻译)(Graduate School,Hebei University of Chinese Medicine,Shijiazhuang 050011,China;Hebei General Hospital,Shijiazhuang 050000,China;不详)

机构地区：[1]Graduate School,Hebei University of Chinese Medicine,Shijiazhuang 050011,China [2]Hebei General Hospital,Shijiazhuang 050000,China

出　　处：《Journal of Acupuncture and Tuina Science》2020年第4期302-307,共6页针灸推拿医学（英文版）

基　　金：河北省卫生健康委员会科研项目,No.20190327;河北省科技计划项目,No.14K57715D。

摘　　要：Objective:To observe the clinical efficacy of tuina manipulations in treating different types of tic disorders(TD).Methods:Eligible TD patients were classified into three types,transient tic disorders(TTD),chronic multiple tic disorders(CMTD)and Tourette syndrome(TS),according to their disease duration and severity.The three types of children were treated with the same tuina manipulations.Changes in the Yale global tic severity scale(YGTSS)score,effective rate for tic,and cervical spine imaging examination results(including asymmetry of the lateral atlanto-dental interval,broadened anterior atlanto-dental interval,C2 spinous process deviation,occipito-atlanto-axial flexion/extension instability)were observed after 1-month and 3-month treatments respectively.Results:The YGTSS score changed significantly after 1-month and 3-month treatments compared with that before treatment(both P<0.01);the effective rate for TD was 46.6%and 86.7%respectively after 1-month and 3-month treatments;there were significant differences comparing the effective rate for tic between different types of TD after 1-month and 3-month treatments(all P<0.05);comparing the effective rate for tic after 1-month treatment with that after 3-month treatment for the same type,the intra-group differences were statistically significant[TTD group(P<0.01),CMTD group(P<0.01),TS group(P<0.05)];the abnormal parameter rates in neck imaging examination after 3-month treatment were significantly different from those before treatment(all P<0.01).Conclusion:Tuina manipulation is effective for TTD,CMTD and TS.It can correct the abnormal alterations of patients'cervical vertebrae,and its efficacy for TTD is most significant.目的:观察推拿手法治疗不同类型抽动障碍(TD)的疗效.方法:将符合筛选标准的TD患者按病程长短及病情严重程度分为短暂性抽动障碍(TTD)、慢性多发性抽动障碍(CMTD)和抽动秽语综合征(TS)三类.三类患者均采用相同的推拿手法治疗.观察治疗1个月和3个月后耶鲁综合抽动严重程度量表(YGTSS)评分和抽动有效率及颈椎影像检查结果(包括寰齿侧间隙不等、寰齿前间隙增宽、枢椎棘突偏歪和枕-寰-枢椎屈伸失稳)的变化情况.结果:治疗1个月与3个月后,YGTSS评分与治疗前评分差异均有统计学意义(均P<0.01);治疗1个月和3个月后的抽动有效率分别为46.6%和86.7%;治疗1个月及治疗3个月后不同类型TD之间抽动有效率差异均有统计学意义(均P<0.05);相同类型TD治疗3个月与治疗1个月抽动有效率比较,组内差异均有统计学意义[TTD组(P<0.01),CMTD组(P<0.01),TS组(P<0.05)];治疗3个月后颈椎影像异常指标发生率与治疗前差异均有统计学意义(均P<0.01).结论:推拿手法治疗TTD、CMTD、TS均有肯定疗效,能纠正患者颈椎异常改变,且以TTD型疗效最佳.

关 键 词：TUINA MASSAGE MANIPULATIONS Atlanto-occipital Joint Atlanto-axial Joint Tic Disorders Tourette Syndrome CHILD 

分 类 号：R244.1[医药卫生—针灸推拿学]