开四关治疗痰火内扰型小儿抽动秽语综合征临床观察  

Clinical Observation on the Treatment of Phlegm and Fire Internal Disturbance Type of Pediatric Tourette Syndrome by Opening Siguan Acupoint

作　　者：胡茶英 李慧[1] HU Cha-ying;LI Hui(Department 1 of Acupuncture of Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330004)

机构地区：[1]江西中医药大学附属医院针灸一科,南昌330006

出　　处：《实用中西医结合临床》2022年第7期17-20,共4页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:观察毫针刺四关穴治疗痰火内扰型小儿抽动秽语综合征(PTS)的临床疗效。方法:选取痰火内扰型PTS患儿48例为研究对象,随机分为试验组与对照组,各24例。对照组采用西药常规治疗,试验组采用针管进针法以四关穴为主穴治疗。对比两组治疗前后运动性抽动积分和发声性抽动积分、临床疗效及不良反应发生情况。结果:试验组总有效率为95.83%,高于对照组的58.33%(P<0.05);治疗后试验组运动性抽动积分和发声性抽动积分低于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:开四关法毫针刺治疗PTS患儿疗效确切,可有效缓解患儿临床症状,安全性高。Objective:To observe the clinical efficacy of opening the Siguan acupoint method in the treatment of phlegm and fire internal disturbance type of pediatric tourette syndrome(PTS).Methods:Forty-eight children with PTS of phlegm and fire internal disturbance were randomly divided into observation group and control group(24 cases in each group),and the control group was treated with conventional western medicine,while the observation group was treated with acupuncture to open the Siguan acupoint as the main acupoint.The two groups were evaluated separately for motor tics score and vocal tics score before and after treatment,clinical efficacy and adverse effects were compared.Results:The total effective rate in the observation group was 95.83%,higher than 58.33%in the control group(P<0.05).After treatment,the motor tic scores and vocal tic scores in the observation group were lower than those in the control group(P<0.05);there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The efficacy of opening the Siguan acupoint method of milli-acupuncture for the treatment of PTS is exact,it can effectively relieve the clinical symptoms of pediatric patients,with high safety.

关 键 词：小儿抽动秽语综合征 痰火内扰型 四关穴 针刺 抽动积分 

分 类 号：R749.94[医药卫生—神经病学与精神病学]