推拿治疗儿童注意缺陷多动障碍临床疗效观察  

Clinical Therapeutic Effect Observation of Pediatric Massage in the Treatment of Attention Deficit Hyperactivity Disorder in Children

作　　者：杨晓双 于娟[2] 刘慕清 孙艳 吴静 庞亚铮 丁菲菲 YANG Xiaoshuang;YU Juan;LIU Muqing;SUN Yan;WU Jing;PANG Yazheng;DING Feifei(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250014

出　　处：《山东中医杂志》2024年第8期873-876,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：2022年度技术创新与应用发展专项鲁渝合作项目(编号:CSTB2022TlAD-LDX0001)。

摘　　要：目的:观察推拿治疗儿童注意缺陷多动障碍(ADHD)的临床疗效。方法:选取60例ADHD患儿随机分为治疗组(30例)和对照组(30例)。治疗组接受小儿推拿疗法,对照组口服盐酸哌甲酯控释片治疗。比较两组患儿中医证候量表评分、注意缺陷多动障碍筛查量表(SNAP-Ⅳ)评分和临床有效率。结果:治疗后,两组各项评分均低于治疗前,差异有统计学意义(P<0.05)。治疗组中医证候和SNAP-Ⅳ评分均低于对照组,组间比较差异有统计学意义(P<0.05)。治疗组总有效率为80%,对照组为73%,治疗组疗效优于对照组。结论:小儿推拿疗法能够有效控制ADHD患儿多动不安、急躁不宁等症状,与药物相比更加舒适安全且无明显不良反应,在临床中值得应用。Objective:To observe the clinical therapeutic effect of pediatric massage in the treatment of attention deficit hyperactivity disorder(ADHD)in children.Methods:Sixty children with ADHD were randomly divided into the treatment group(30 cases)and the control group(30 cases).The treatment group received pediatric massage therapy,and the control group received oral administration of methylphenidate hydrochloride controlled release tablets.The changes of traditional Chinese medicine(TCM)syndrome scale score,score for neonatal acute physiologyⅣ(SNAP-Ⅳ)score and clinical effective rate were compared between the two groups.Results:After treatment,all scores of the two groups of patients were lower than before treatment,and the difference was significant(P<0.05).The TCM syndrome and SNAP-IV scores of the treatment group were lower than those of the control group,and there was significant difference between the two groups(P<0.05).The total effective rate was 80%in the treatment group and 73%in the control group.The therapeutic effect of the treatment group was better than that of the control group.Conclusions:Pediatric massage therapy can effectively control the symptoms of hyperactivity,agitation,impatience and restlessness in children with ADHD,compared with drugs,it is more comfortable and safe,and it has no adverse reactions,therefore,it is worth in clinical application.

关 键 词：小儿推拿 注意缺陷多动障碍 中医证候量表评分 盐酸哌甲酯控释片 脏躁 

分 类 号：R246.4[医药卫生—针灸推拿学]