针刺联合心理疏导治疗儿童短暂性抽动障碍临床研究  

Clinical Study on Acupuncture Combined with Psychological Counseling for Transient Tic Disorder in Children

作　　者：窦仁慧 郭海峰[2] 向圣锦 温淑梅 DOU Renhui;GUO Haifeng;XIANG Shengjin;WEN Shumei(National Clinical Research Center for Ocular Diseases,Eye Diseases/Zhejiang Eye Hospital of Wenzhou Medical University,Wenzhou Zhejiang 325027,China;Zhejiang Chinese Medical University,Hangzhou Zhejiang 310053,China)

机构地区：[1]温州医科大学附属眼视光医院/国家眼耳鼻喉疾病(眼部疾病)临床医学研究中心,浙江温州325027 [2]浙江中医药大学,浙江杭州310053

出　　处：《新中医》2025年第1期152-155,共4页New Chinese Medicine

基　　金：温州市基础性科研项目(Y20190737)。

摘　　要：目的:观察针刺联合心理疏导治疗肝亢风动型儿童短暂性抽动障碍的临床疗效。方法:选择2022年4月—2023年10月就诊于温医大附属眼视光医院杭州院区的152例肝亢风动型短暂性抽动障碍患儿,按随机数字表法分为治疗组90例及对照组62例,治疗组予以针刺联合心理疏导治疗,对照组予以硫必利片口服联合心理疏导治疗,共治疗8周。比较2组临床疗效及不良反应发生情况,比较2组治疗前、治疗2周、4周、8周后耶鲁综合抽动严重程度量表(YGTSS)评分的变化。结果:治疗组临床疗效总有效率为95.6%(86/90),对照组临床疗效总有效率为95.2%(59/62),2组比较,差异无统计学意义(P>0.05)。治疗后,2组YGTSS评分均较治疗前下降(P<0.05),治疗2周、4周后,治疗组YGTSS评分均低于同一时间段对照组,差异均有统计学意义(P<0.05),治疗8周后,2组YGTSS评分比较,差异无统计学意义(P>0.05)。2组在治疗过程中,均未产生严重不良反应。结论:针刺联合心理疏导治疗肝亢风动型儿童抽动障碍临床有效,与硫必利片联合心理疏导治疗相比见效更快,安全性高。Objective:To observe the clinical effect of the therapy of acupuncture combined with psychological counseling on children with transient tic disorder of hepatic hyperactivity and stirring up wind type.Methods:A total of 152 children with transient tic disorder of hepatic hyperactivity and stirring up wind type treated in Zhejiang Eye Hospital of Wenzhou Medical University(Hangzhou Branch)from April 2022 to October 2023 were selected and divided into the treatment group and the control group according to the random number table method,with 90 and 62 cases in each group.The treatment group was treated with acupuncture combined with psychological counseling,and the control group was given oral administration of Tiapride Tablets combined with psychological counseling.Both groups were treated for eight weeks.The clinical effects and incidence of adverse reactions,and the changes in scores of Yale Global Tic Severity Scale(YGTSS)before treatment and after two,four and eight weeks of treatment were compared between the two groups.Results:The total clinical effective rate was 95.6%(86/90)in the treatment group and 95.2%(59/62)in the control group,there being no significance in the difference(P>0.05).After treatment,the YGTSS scores in both groups were dwindled when compared with those before treatment(P<0.05);after two and four weeks of treatment,the YGTSS scores in the treatment group were lower than those in the control group at the same time point,differences being significant(P<0.05);after eight weeks of treatment,there was no significant difference being found in the comparison of YGTSS scores between the two groups(P>0.05).There was no serious adverse reaction in the two groups.Conclusion:The therapy of acupuncture combined with psychological counseling has a good clinical effect on children with transient tic disorder of hepatic hyperactivity and stirring up wind type with a better treatment effect and greater safety when compared with that of Tiapride Tablets combined with psychological counseling.

关 键 词：儿童短暂性抽动障碍 针刺 心理疏导 耶鲁综合抽动严重程度量表 

分 类 号：R272[医药卫生—中医儿科学]