抑肝扶脾针法配合耳穴压豆治疗儿童抽动障碍对中医证候积分及不良反应的影响  

Analysis of the Effect of the Acupuncture method of Suppressing the Liver and Supporting the Spleen combined with Ear Point Pressing Beans on Children's Tic Disorder on Traditional Chinese Medicine Syndrome Score and Adverse Reactions

作　　者：师晓敏 孙晨希 张正兰 乔静 张争艳 SHI Xiaomin;SUN Chenxi;ZHANG Zhenglan;QIAO Jing;ZHANG Zhengyan(The First Affliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,Henan,China;Hongxing Hospital,13th Division,Xinjiang Production and Construction Corps,Hami 832099,Xinjiang,China)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450000 [2]新疆生产建设兵团第十三师红星医院,新疆哈密832099

出　　处：《实用中医内科杂志》2024年第4期123-126,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：河南省中医药科学研究专项(18-19ZY0322)。

摘　　要：目的观察在对儿童抽动障碍患儿治疗中按照抑肝扶脾针法配合耳穴压豆进行治疗对于中医证候积分改善以及不良反应控制的作用。方法按照比较治疗观察的形式开展探究,纳入80例患儿为研究对象,时间为2020年1月—2022年10月,按照双盲法分组的方式,取组内40例患儿开展常规治疗,作为对照组,剩下40例患儿则开展抑肝扶脾针法配合耳穴压豆治疗,作为观察组。对两组患儿恢复情况进行比较。结果患儿中医证候积分在治疗前差异无统计学意义(P>0.05),治疗后观察组低于对照组(P<0.05)。统计两组患儿整体治疗效果,观察组有效率高于对照组(P<0.05)。比较患儿在治疗过程中不良反应情况,观察组发生率低于对照组(P<0.05)。比较两组患儿在治疗期间耶鲁评分,在治疗前两组患儿评分差异无统计学意义(P>0.05),在治疗后1、2、3、4周,观察组耶鲁评分均低于优势(P<0.05)。结论在对儿童抽动障碍患儿进行治疗的过程中按照抑肝扶脾针法配合耳穴压豆进行治疗,可以有效提升临床对该部分患儿的治疗效果,改善患儿中医证候积分,并降低患儿不良反应发生率,可以达到帮助患儿进行恢复的目的,能够促使患儿抽动障碍症状在较短时间内得到改善。Objective To observe the effect of treating children with tic disorder according to the method of suppressing the liv-er and supporting the spleen combined with ear acupoint pressing beans on the improvement of TCM syndrome score and the con-trol of adverse reactions.Methods The research was carried out in the form of comparative treatment observation,and 80children were included as the study object from January 2020 to October 2022.According to the double-blind grouping method,40 chil-dren in the group were selected to carry out routine treatment as the control group,and the remaining 40 children were treated with the acupuncture method of suppressing the liver and supporting the spleen combined with ear point pressing beans as the ob-servation group.The recovery of the two groups of children was compared.Results There was no difference in the TCM syndrome score of the children before treatment(P>0.05).After treatment,the observation group was lower than the control group(P<0.05).According to the statistics of the overall treatment effect of the two groups of children,the effective rate of the observation group was higher than that of the control group(P<0.05).The incidence of adverse reactions in the observation group was low-er than that in the control group(P<0.05).Compared with the Yale score of children in the two groups during treatment,there was no difference between the two groups before treatment(P>0.05).At the first,second,third and fourth weeks after treat-ment,the Yale score of the observation group had advantages(P<0.05).Conclusion In the process of treating children with tic disorder,the treatment of suppressing the liver and supporting the spleen acupuncture combined with ear acupoint pressing beans can effectively improve the clinical treatment effect of this part of children,improve the score of traditional Chinese medicine syn-drome of children,and reduce the incidence of adverse reactions in children,which can help children recover,and promote the improvement of tic disorder symptoms in a rela

关 键 词：抑肝扶脾针法 耳穴压豆 儿童抽动障碍 中医证候积分 不良反应 耶鲁评分 康复 发生率 

分 类 号：R277.7[医药卫生—中医学]