穴位埋线联合药物治疗儿童抽动障碍的临床效果  

Clinical effect of catgut implantation at acupoints combined with medication in the treatment of children with tic disorder

作　　者：徐磊 余志华[2] 孟青 吴亚平 孟凡萍 冯杨文 尹晓莉 吴永志 XU Lei;YU Zhihua;MENG Qing;WU Yaping;MENG Fanping;FENG Yangwen;YIN Xiaoli;WU Yongzhi(Department of Development and Behavior,Chengdu Gaoxin Southwest Children’s Rehabilitation Hospital,Sichuan Province,Chengdu 610000,China;Chilren’s Rehabilitation Center,Chengdu First People’s Hospital,Sichuan Province,Chengdu 610000,China)

机构地区：[1]成都高新西南儿童康复医院发育行为科,四川成都610000 [2]成都市第一人民医院儿童康复中心,四川成都610000

出　　处：《妇儿健康导刊》2023年第1期67-69,共3页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

基　　金：四川省成都市医学科研课题基金项目(成卫计发〔2016〕10号)。

摘　　要：目的观察穴位埋线联合药物治疗儿童抽动障碍(TD)的临床效果。方法随机抽样法选取2020年7月至2022年1月在成都高新西南儿童康复医院就诊的392例TD患儿,随机分为治疗组和对照组。治疗组194例,接受穴位埋线和药物治疗。对照组198例,只接受药物治疗。比较治疗3个月后两组的临床有效率,治疗前和治疗3个月后两组耶鲁大体抽动严重程度量表(YGTSS)评分。结果经过3个月的治疗,治疗组的有效率为93.8%,高于对照组的70.7%,差异有统计学意义(P<0.05)。治疗组和对照组治疗后的YGTSS评分低于本组治疗前,差异有统计学意义(P<0.05)。治疗组YGTSS总分、抽动的强度、频率、复杂程度评分低于对照组,差异有统计学意义(P<0.05)。结论穴位埋线联合常规药物对儿童抽动障碍的治疗效果优于单纯药物治疗。Objective To observe the clinical effect of catgut implantation at acupoints in the treatment of children with tic disorder(TD).Methods A total of 392 children with TD treated in Chengdu Gaoxin Southwest Children’s Rehabilitation Hospital from July 2020 to January 2022 were selected by random sampling method.They were randomly divided into treatment group(194 cases)and control group(198 cases).Children in the control group received only drug therapy,while the treatment group received catgut implantation at acupoints and drug therapy.After 3 months of treatment,clinical effective rate and the Yale global tic s everity scale(YGTSS)scores of the two groups before treatment and after 3 months of treatment were compared between the two groups.Results After 3 months of treatment,the effective rate of the treatment group was 93.8%,which was higher than that of the control group accounting for 70.7%,the difference was statistically significant(P<0.05).The YGTSS scores of the treatment group and the control group after 3 months of treatment were lower than those before treatment(P<0.05).The total score and the scores of intensity,frequency and complexity of tic of treatment group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion The clinical effect of catgut implantation at acupoints combined with conventional drug therapy is better than drug therapy alone in the treatment of children with tic disorder.

关 键 词：穴位埋线 抽动障碍 药物治疗 耶鲁大体抽动严重程度量表 

分 类 号：R277.7[医药卫生—中医学]