ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2023, Vol. 15 ›› Issue (5): 393-397.doi: 10.3969/j.issn.1674-3865.2023.05.006

• 儿童抽动障碍康复专栏 • 上一篇    下一篇

中药联合针刺治疗儿童抽动障碍临床疗效观察

刘全慧, 付乾芳, 张喜莲, 戎萍, 马融   

  1. 300110 天津，天津市南开区安仁中医医院中医科（刘全慧）；300381 天津，天津中医药大学第一附属医院儿科（付乾芳，张喜莲，戎萍，马融）
  • 收稿日期:2023-09-06 出版日期:2023-10-25 上线日期:2023-10-25
  • 通讯作者: 马融，E-mail:mr1974@163.com

Observation on the clinical therapeutic effect of traditional Chinese medicine combined with acupuncture on tic disorders in children

LIU Quanhui, FU Qianfang, ZHANG Xilian, RONG Ping, MA Rong   

  1. Anren Traditional Chinese Medicine Hospital in Nankai District, Tianjin 300110，China

  • Received:2023-09-06 Published:2023-10-25 Online:2023-10-25
  • Contact: MA Rong，E-mail:mr1974@163.com

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摘要： 目的 观察中药联合针刺治疗小儿抽动障碍的临床疗效。方法 回顾性研究2022年1月至2023年6月天津中医药大学第一附属医院收治的121例抽动障碍患儿，按治疗方法不同分为观察组56例和对照组65例。对照组予中药联合常规西药治疗，观察组予中药联合针刺治疗，疗程8周。观察两组的临床疗效、耶鲁综合抽动严重程度量表评分及临床疗效总评量表积分情况。结果 观察组总有效率为82.1%(46/56),对照组为73.8%(48/65),两组比较差异无统计学意义(P>0.05)。治疗后观察组中医证候疗效优于对照组，差异有统计学意义(P<0.05)。治疗后两组耶鲁综合抽动严重程度量表评分及临床疗效总评量表量表-疾病严重程度积分均明显下降，与治疗前比较差异有统计学意义(P<0.05),组间比较差异无统计学意义(P>0.05)。亚组分析显示：对不同中医辨证分型、不同分型、不同严重程度抽动障碍，两组治疗均较治疗前有效，但组间比较差异无统计学意义(P>0.05)。结论 中药结合针刺与中药结合西药治疗抽动障碍疗效相当，中药结合针刺治疗有助于改善患儿的中医证候，值得临床推广应用。

关键词: 抽动障碍, 针刺, 儿童

Abstract: Objective To observe the clinical efficacy of traditional Chinese medicine (TCM) combined with acupuncture in the treatment of tic disorders in children.Methods Totally 121 children with tic disorders treated in the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine from January 2022 to June 2023 were selected and divided into observation group(n=56) and control group(n=65) according to different treatment methods. The control group was treated with TCM drugs combined with western drugs, and the observation group was treated with TCM drugs combined with acupuncture. The treatment period was 8 weeks. Observe the clinical efficacy, Yale global tic severity scale(YGTSS) score, and clinical global impression(CGI) score of the two groups.Results The total effective rate of the observation group was 82.1%(46/56), while the control group was 73.8%(48/65). There was no statistical difference between the two groups(P>0.05). After treatment, the observation group was superior to the control group concerning the effect on TCM syndrome(P<0.05). After treatment, the YGTSS score and CGI-SI scale score of the two groups significantly decreased; compared with those before treatment, the difference was statistically significant (P<0.05), but there was no statistically significant difference between the two groups (P>0.05). Subgroup analysis showed that: for different types of TCM syndrome differentiation, different types, and different severity of TD, the treatment was more effective than before treatment in both groups, but there was no statistical difference between the two groups(P>0.05).Conclusion The therapeutic effect of TCM drugs combined with acupuncture is equivalent to that of TCM drugs combined with Western medicine in the treatment of tic disorders. TCM drugs combined with acupuncture is helpful to improve the TCM syndrome of children and is worthy of clinical application.

Key words:

Tic disorders, Acupuncture, Children