调和止动方联合磁珠耳穴贴治疗儿童抽动障碍脾虚肝旺型29例临床观察  

Clinical observation on 30 cases of pediatric tic disorder with spleen deficiency and liver hyperactivity syndrome treated with the Tiaohe Zhidong Fang(调和止动方)and magnetic bead ear acupoints patch therapy

作　　者：宋艳玲 陈晓玲 王晓鸣[1] 陈玉燕[1] SONG Yanling;CHEN Xiaoling;WANG Xiaoming;CHEN Yuyan(Department of Pediatrics,The First Affiliated Hospital of ZhejiangChinese Medical University(Zhejiang Hospital of Traditional Chinese Medicine),Hangzhou,Zhejiang,310018,China;The First Clinical School,ZhejiangChinese Medical University,Hangzhou,Zhejiang,310053,China)

机构地区：[1]浙江中医药大学附属第一医院(浙江省中医院)儿科,浙江杭州310018 [2]浙江中医药大学第一临床医学院,浙江杭州310053

出　　处：《中医儿科杂志》2024年第4期81-85,共5页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：浙江省中医药管理局第七批省级名中医项目(浙卫发[2018]69号);浙江省中医药科技计划项目(2021ZA051)。

摘　　要：目的观察调和止动方联合磁珠耳穴贴治疗儿童抽动障碍脾虚肝旺型的临床疗效。方法选取2021年6月1日至2022年12月31日于浙江中医药大学附属第一医院(浙江省中医院)儿科门诊治疗的抽动障碍脾虚肝旺型患儿60例,按照随机数字表法分为治疗组和对照组,各30例,因对照组脱落2例,治疗组失访1例,最终治疗组29例,对照组28例。对照组予盐酸硫必利片口服,治疗组予调和止动方口服联合磁珠耳穴贴治疗。2组均以4周为1个疗程,1个疗程后统计疗效。结果治疗前2组的耶鲁综合抽动严重程度量表(YGTSS)评分及社会缺损评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组的上述评分均显著降低,与同组治疗前比较,差异有统计学意义(P<0.05),且治疗组的YGTSS评分降低更显著(P<0.05)。治疗前2组的中医证候主症、次症及总积分比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组的上述积分均显著降低,与同组治疗前比较,差异均有统计学意义(P<0.05),且治疗组的次症积分及总积分降低更显著(P<0.05)。治疗组的总有效率为86.21%(25/29),显著高于对照组的64.28%(18/28),2组比较,差异有统计学意义(P<0.05)。结论调和止动方联合磁珠耳穴贴治疗儿童抽动障碍脾虚肝旺型疗效确切,可显著改善临床症状,降低YGTSS评分,值得临床推广应用。Objective e To observe the clinical efficacy of the combination of Tiaohe Zhidong Fang(调和止动方)combined with magnetic bead ear acupoints patch therapy in the treatment of children of tic disorderwith spleen deficiency and liver hyperactivity syndrome.Methods Sixty children of tic disorder with spleen deficiency and liver hyperactivity who were treated at the pediatric outpatient department of the The First Affiliated Hospital of ZhejiangChinese Medical University(Zhejiang Hospital of Traditional Chinese Medicine)from June 1,2021 to December 31,2022 were selected.They were randomly divided into a treatment group and a control group,with 30 cases in each group.Due to the loss of 2 cases in the control group and 1 case lost to follow-up in the treatment group,there were ultimately 29 cases in the treatment group and 28 cases in the control group.The control group was given oral administration of Thiapride Hydrochloride tablets,while the treatment group was given oral administration of Tiaohe Zhidong Fang combined with magnetic bead ear acupoints patch therapy.Both groups have a treatment period of 4 weeks,and the therapeutic effect is calculated after one treatment period.Results There was no significant difference in YGTSS score and social deficit score between the two groups before treatment(P>0.05),which was comparable.After treatment,the above scores of the 2 groups were significantly decreased,and the dfference was statistically significant compared with the same group before treatment(P<0.05),and the YGTSS score of the treatment group was more significantly decreased(P<0.05).There was no significant difference in the main syndrome,secondary syndrome and total score between the two groups before treatment(P>0.05),which was comparable.After treatment,the above scores of the 2 groups were significantly reduced,and the differences were statistically significant compared with those of the same group before treatment(P<0.05),and the sub-disease scores and total scores of the treatment group were more signifi

关 键 词：抽动障碍 儿童 脾虚肝旺证 调和止动方 磁珠耳穴贴 临床观察 

分 类 号：R749.94[医药卫生—神经病学与精神病学]