非药物治疗儿童颈椎关节错位型多发性抽动症验案分析  

A Case Analysis of Non-Drug Therapy for Tourette′s Syndrome Children with Cervical Joint Dislocation

作　　者：毛伟 宋宇 石艳[1] 刘铭 MAO Wei;SONG Yu;SHI Yan;LIU Ming(Chengdu Integrated TCM &Western Medicine Hospital/Chengdu First People′s Hospital, Sichuan Chengdu 610041, China)

机构地区：[1]成都市中西医结合医院/成都市第一人民医院,四川成都610041

出　　处：《中国医药导刊》2021年第11期839-842,共4页Chinese Journal of Medicinal Guide

基　　金：四川省中医药管理局项目(项目编号:2020JC0017,项目名称:补中益气丸在正骨推拿治疗青少年特发性脊柱侧弯中的中医理论研究)。

摘　　要：目的:探讨多发性抽动症(TS)临床特点及诊疗方式,减少临床误诊、误治。方法:对我科接诊的1例诊断为多发性抽动症5年的患儿,根据“三步定位诊断”,采用非药物治疗,以推拿正骨治疗为主,针刺风池穴为辅。结果:患儿经过非药物治疗3次后,停服西药,抽动症状逐渐缓解,连续治疗3个疗程后,患儿未再出现头颈部、腹部不自主抽动,挤眉眨眼基本消失,颈椎X片复查报告示:双侧寰齿间隙对称。在整个治疗过程中,患儿未出现治疗抗拒,未出现不良反应,治疗效果确切。结论:部分诊断为小儿多发性抽动症,伴有明显跌倒、外伤史的患儿,需警惕脊椎关节错位,采用非药物治疗是关键。Objective:To discuss the new clinical feature and non-drug treatment of Tourette′s syndrome(TS),in order to reduce clinical misdiagnosis and mistreatment.Methods:A child with Tourette′s disease who has diagnosed for 5 years was treated with non-drug therapy in our department according to"Three-step Diagnosis".The main treatment was massage bonesetfiny supplemented by acupuncture and wind-pricking points.Results:After 3 times of non-drug treatment,the child stopped taking western medicine,and the tic symptoms gradually relieved.After 3 courses of continuous treatment,the child was cured clinically.Conclusion:Some children diagnosed as Tourette′s syndrome,who accompanied by a history of obvious falls and trauma,need to be alert to the dislocation of the spinal joint,and using of non-drug treatment is the key.

关 键 词：多发性抽动症 颈椎关节错位 非药物治疗 推拿正骨 针刺 三步定位诊断 

分 类 号：R749[医药卫生—神经病学与精神病学]