点刺四缝穴配合耳穴埋豆治疗儿童抽动障碍脾虚肝亢证32例临床观察  

Clinical observation on 32 cases of tic disorders in children with spleen deficiency and liver hyperactivity syndrome treated by pricking at Sifeng(EX-UE 10) combined with auricular plaster therapy

作　　者：沈海霞 龙振寅 SHEN Haixia;LONG Zhenyin(Department of Acu-moxibustion,Chibi Hospital of TCM,Chibi,Hubei,437300,China)

机构地区：[1]赤壁市中医医院针灸科,湖北赤壁437300

出　　处：《中医儿科杂志》2022年第4期95-98,共4页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的 观察点刺四缝穴配合耳穴埋豆治疗儿童抽动障碍脾虚肝亢证的临床疗效。方法 选取2016年6月至2020年12月于赤壁市中医医院针灸科门诊治疗的抽动障碍脾虚肝亢证患儿64例,按照随机数字表法分为对照组和治疗组,各32例。对照组给予氟哌啶醇口服治疗,治疗组给予点刺四缝穴配合耳穴埋豆治疗,2组均1个月为1个疗程,1个疗程结束并随访6个月,比较2组的临床疗效、复发情况和不良反应发生情况。结果 治疗组总有效率为90.63%(29/32),明显优于对照组的75.00%(24/32),2组比较,差异有统计学意义(P<0.05)。治疗后6个月内治疗组未见复发,对照组复发2例,2组比较,差异无统计学意义(P>0.05)。治疗组未出现不良反应,对照组中3例患儿出现轻微手抖现象,停药后均可自行缓解,2组比较,差异无统计学意义(P>0.05)。结论 点刺四缝穴配合耳穴埋豆治疗儿童抽动障碍脾虚肝亢证疗效确切,可有效降低复发率,且无不良反应,值得临床推广应用。Objective To observe the clinical efficacy of pricking at Sifeng(EX-UE10) combined with auricular plaster therapy for tic disorders in children with spleen deficiency and liver hyperactivity syndrome.Methods From June 2016 to December 2020,64 cases of tic disorders in children with spleen deficiency and liver hyperactivity syndrome treated in the outpatient service of acu-moxibustion department of Chibi Hospital of TCM were divided into treatment group and control group according to random number table method,with 32 cases in each group.The control group was given haloperidol orally,and the treatment group was given pricking at Sifeng(EX-UE10) combined with auricular plaster therapy.One month was 1 course of treatment for both groups.After 1 course of treatment,the patients were followed up for 6 months.The clinical efficacy,recurrence and adverse reactions between the 2 groups were compared.Results The total effective rate of the treatment group was 90.63%(29/32),which was significantly superior to 75.00%(24/32) of the control group,and the difference was statistically significant between the 2 groups(P<0.05).There was no recurrence in the treatment group within 6 months after treatment,and there were 2 cases recurred in the control group.There was no statistically significant difference between the 2 groups(P>0.05).There were no adverse reactions in the treatment group,and 3 children in the control group had slight hand shaking,which could be relieved on their own after stopping the drug.There was no statistically significant difference between the 2 groups(P>0.05).Conclusion It has definite efficacy and can effectively reduce the recurrence rate without adverse reactions to prick at Sifeng(EX-UE10) combined with auricular plaster therapy for tic disorders in children with spleen deficiency and liver hyperactivity syndrome,which deserves clinical promotion and application.

关 键 词：抽动障碍 儿童 脾虚肝亢证 四缝穴 耳穴埋豆 临床观察 

分 类 号：R749.94[医药卫生—神经病学与精神病学]