叶氏涤痰止痉汤联合针刺治疗小儿多发性抽动障碍脾虚肝旺、风痰扰心型40例临床观察  

Clinical observation on 40 cases of multiple tic disorder in children of spleen deficiency and liver hyperactivity,wind-phlegm disturbs the heart type treated by YE's Ditan Zhijing Tang(叶氏涤痰止痉汤) combined with acupuncture

作　　者：刘璐 徐忞 金笛 仇艳 乌海华 徐佳静 陈姣炅 许奋 许雨辰 LIU Lu;XU Min;JIN Di;QIU Yan;WU Haihua;XU Jiajing;CHEN Jiaojiong;XU Fen;XU Yuchen(Department of Pediatrics,Haishu District Traditional Chinese Medicine Hospital in Ningbo,Ningbo,Zhejiang,315000,China;Department of Acupuncture and Moxibustion,Haishu District Traditional of Chinese Medicine Hospital in Ningbo,Ningbo,Zhejiang,315000,China)

机构地区：[1]宁波市海曙区中医医院儿科,浙江宁波315000 [2]宁波市海曙区中医医院针灸科,浙江宁波315000

出　　处：《中医儿科杂志》2023年第5期73-77,共5页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：宁波市医学科技计划项目(2020Y32)。

摘　　要：目的观察叶氏涤痰止痉汤联合针刺治疗小儿多发性抽动障碍脾虚肝旺、风痰扰心型的临床疗效。方法选取2020年9月至2021年12月于宁波市海曙区中医医院儿科治疗的多发性抽动障碍脾虚肝旺、风痰扰心型患儿120例,按照随机数字表法分为涤痰止痉汤组、针刺组和联合治疗组,各40例。涤痰止痉汤组予叶氏涤痰止痉汤治疗,针刺组予针刺治疗,联合治疗组予叶氏涤痰止痉汤联合针刺治疗,3组均治疗4周为1个疗程,治疗2个疗程后统计疗效。结果治疗前3组的耶鲁综合抽动严重程度(YGTSS)量表评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后3组的运动性抽动、发声性抽动评分及总评分均较同组治疗前显著下降,差异均有统计学意义(P<0.05),且联合治疗组降低最显著(P<0.05),而针刺组与涤痰止痉汤组比较,差异无统计学意义(P>0.05)。联合治疗组的总有效率为95.00(38/40),显著高于涤痰止痉汤组的80.00%(32/40)和针刺组的75.00%(30/40),差异均有统计学意义(P<0.05),而针刺组与涤痰止痉汤组比较,差异无统计学意义(P>0.05)。治疗过程中3组均有不良反应情况发生,其中涤痰止痉汤组4例,针刺组3例,联合治疗组5例,3组比较,差异均无统计学意义(P>0.05)。结论叶氏涤痰止痉汤联合针刺治疗小儿多发性抽动障碍脾虚肝旺、风痰扰心型,可显著改善临床症状,且疗效确切,无明显不良反应,值得临床推广应用。Objective To observe the clinical efficacy of YE's Ditan Zhijing Tang(叶氏涤痰止痉汤) combined with acupuncture in the treatment of multiple tic disorder in children of spleen deficiency and liver hyperactivity,wind-phlegm disturbs the heart type.Methods A total of 120 children with multiple tic disorder of spleen deficiency and liver hyperactivity,wind-phlegm disturbs the heart type who were treated in the pediatrics department of Haishu District Hospital of Traditional Chinese Medicine from September 2020 to December 2021 were selected and divided into Ditan Zhijing Tang(DZT) group,acupuncture group and combined treatment group according to random number table method,with 40 cases each.The DZT group were treated with YE's Ditan Zhijing Tang,the acupuncture group with acupuncture,and the combined treatment group with YE's Ditan Zhijing Tang and acupuncture.All three groups were treated for 4 weeks as one course of treatment,and the efficacy was calculated after 2 courses of treatment.Results There was no statistically significant difference in the YGTSS scale scores among the three groups before treatment(P<0.05),indicating comparability.After treatment,the scores of motor twitch,vocal twitch and total score of the 3 groups were significantly decreased compared with those before treatment,with statistical significance(P<0.05),and the most significant reduction was in the combined treatment group(P<0.05),while there was no statistical significance between the acupuncture group and the DZT group(P<0.05).The total effective rate of combined treatment group was 95.00%(38/40),which was significantly higher than 80.00%(32/40) in DZT group and 75.00%(30/40) in acupuncture group,with statistical significance(P<0.05),but there was no statistical significance between acupuncture group and DZT group(P<0.05).Adverse reactions occurred in all the 3 groups during treatment,including 4 cases in DZT group,3 cases in acupuncture group and 5 cases in combined treatment group.There was no statistical significance between th

关 键 词：多发性抽动障碍 小儿 脾虚肝旺、风痰扰心型 叶氏涤痰止痉汤 针刺 临床观察 

分 类 号：R749.94[医药卫生—神经病学与精神病学]