快速无痛飞针法联合自拟息风止抽膏治疗小儿抽动症风痰阻络型50例临床观察  

Clinical observation on 50 cases of pediatric tic disorder with wind phlegm entering the meridians pattern treated by rapid and painless flying needle therapy combined with self-made Xifeng Zhichou Gao(息风止抽膏)

作　　者：刘俊蕊 王希[2] 张丽萍 LIU Junrui;WANG Xi;ZHANG Liping(Department of Acupuncture and Moxibustion,Weihai Traditional Chinese Medicine Hospital,Weihai,Shandong,264200,China;Surgery Department,Shandong Yellow River Hospital,Jinan,Shandong,250000,China)

机构地区：[1]威海市中医院针灸科,山东威海264200 [2]山东黄河医院外科,山东济南250000

出　　处：《中医儿科杂志》2024年第5期82-86,共5页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的观察快速无痛飞针法联合自拟息风止抽膏治疗小儿抽动症风痰阻络型的临床疗效。方法选取2018年4月至2020年6月于威海市中医院针灸科门诊就诊的抽动症风痰阻络型患儿100例,按照随机数字表法分为对照组和治疗组,各50例。对照组予泰必利口服,治疗组应用快速无痛飞针法联合自拟息风止抽膏口服。2组均连续治疗3个月,统计治疗后、治疗后半年和治疗后1年的疗效。结果治疗前2组的发声抽动、运动抽动、功能受损程度评分比较,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),且治疗组降低更显著(P<0.05);治疗后半年及治疗后1年,对照组的上述评分均较同组治疗后显著上升,差异有统计学意义(P<0.05)。治疗前2组的中医证候积分比较,差异无统计学意义(P>0.05);治疗后治疗组的中医证候积分显著降低,与同组治疗前比较,差异有统计学意义(P<0.05),对照组的中医证候积分降低不显著(P>0.05)。治疗后半年及1年,2组的中医证候积分降低均不显著,与同组治疗后比较,差异均无统计学意义(P>0.05)。治疗组的总有效率为78.00%(39/50),显著高于对照组的60.00%(30/50),2组比较,差异有统计学意义(P<0.05)。结论快速无痛飞针法联合自拟息风止抽膏治疗小儿抽动症风痰阻络型,可明显改善患儿的临床症状,且远期疗效良好,值得临床推广应用。Objective To observe the clinical efficacy of rapid and painless flying needle therapy combined with self-made Xifeng Zhichou Gao(息风止抽膏)in the treatment of pediatric tic disorder with wind phlegm entering the meridians pattern.Methods A total of 100 pediatric patients with tic disorder of wind phlegm entering the meridians pattern who visited the outpatient clinic of Weihai Traditional Chinese Medicine Hospital from April 2018 to June 2020 were selected and randomly divided into a control group and a treatment group,with 50 patients in each group.The control group was treated with oral Tiapride,while the treatment group received rapid and painless flying needle therapy combined with oral self-made Xifeng Zhichou Gao.Both groups were treated continuously for 3 months,and the efficacy was evaluated after treatment,half a year after treatment,and 1 year after treatment.Results Before treatment,there was no statistically significant difference in the scores of vocal tics,motor tics,and functional impairment between the two groups(P>0.05),indicating comparability.After treatment,the scores of the above indicators in both groups were significantly reduced,and the difference was statistically significant compared with before treatment(P<0.05),with a more significant reduction in the treatment group(P<0.05).Half a year and 1 year after treatment,the scores of the above indicators in the control group increased significantly compared with after treatment,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the traditional Chinese medicine(TCM)syndrome scores between the two groups(P>0.05).After treatment,the TCM syndrome scores in the treatment group were significantly reduced,and the difference was statistically significant compared with before treatment(P<0.05).However,the reduction in TCM syndrome scores in the control group was not significant(P>0.05).Half a year and 1 year after treatment,the reduction in TCM syndrome scores in both g

关 键 词：抽动症 小儿 风痰阻络型 快速无痛飞针法 自拟息风止抽膏 临床观察 

分 类 号：R749.94[医药卫生—神经病学与精神病学]