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 ›› 2020, Vol. 12 ›› Issue (4): 284-287.doi: 10.3969/j.issn.1674〖-3865.2020.04.003

• 全民健康助力全面小康专栏 • 上一篇    下一篇

安神宁志推拿法联合中药治疗儿童抽动障碍临床观察

沈红岩，张子鹤，王雪峰   

  1. 110032 沈阳，辽宁中医药大学附属医院儿科
  • 出版日期:2020-08-25 发布日期:2021-05-17
  • 通讯作者: 王雪峰，E-mail:lnzywxf@163.com
  • 作者简介:沈红岩（1982-），女，医学硕士，主治医师。研究方向：小儿疾病的中医康复

Clinical observation on Anshen Ningzhi massage combined with traditional Chinese medicine for children's tic disorder

  • Online:2020-08-25 Published:2021-05-17

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摘要： 目的 观察安神宁志推拿法联合中药口服治疗儿童抽动障碍（肝亢风动挟痰证）的临床疗效。
方法 选取2018年8月至2019年8月在我院儿科门诊就诊的抽动障碍（肝亢风动夹痰证）患儿70例，随机分为观察组和对照组各35例。观察组应用安神宁志推拿法配合中药汤剂口服治疗，对照组单纯口服中药汤剂治疗。于治疗4周后进行耶鲁综合抽动严重程度量表（YGTSS）积分以及中医证候量化积分评价。
结果 治疗4周后观察组运动积分和总积分低于对照组，差异均有统计学意义（P<0.05）。治疗后两组发声积分比较差异无统计学意义（P>0.05）。治疗后观察组中医证候量化积分低于对照组，差异有统计学意义(P<0.05)。两组治疗4周后总有效率比较差异无统计学意义（P>0.05），观察组愈显率为65.7%（23/35），显著高于对照组400%（14/35），差异有统计学意义（P<0.05）。
结论 安神宁志推拿法联合中药口服能够显著改善儿童抽动障碍（肝亢风动挟痰证）患儿的抽动症状，临床疗效肯定。

关键词: 抽动障碍, 中药, 推拿, 儿童

Abstract: Objective To observe the clinical effect of Anshen Ningzhi massage combined with traditional Chinese medicine orally taken in the treatment of children with tic disorder(hepatic hyperactivity and windinduced phlegm syndrome).
Methods Seventy children with tic disorder (hepatic hyperactivity and wind-induced phlegm syndrome),who were treated in our pediatric clinic from Aug. 2018 to Aug. 2019, were randomly divided into treatment group and control group, with 35 cases in each group. The treatment group received Anshen Ningzhi massage combined with Chinese medicine decoction, while the control group was treated with Chinese medicine decoction alone. After 4 weeks of treatment, YGTSS scale scores and TCM syndrome quantified scores were evaluated.
Results After 4 weeks of treatment, the motion score and the total score of the observation group were lower than those of the control group, the difference being statistical(P>0.05). The TCM syndrome quantified score of the observation group was lower than that of the control group after treatment(P<0.05).There was no statistical difference in the total effective rate between the two groups after 4 weeks of treatment(P>0.05).The cured and effective rate was 65.7%(23/35) in the observation group, significantly higher than that of the control group(40.0%,14/35), and there was statistical difference(P<0.05).
Conclusion Anshen Ningzhi massage combined with oral Chinese medicine can significantly improve the tic symptoms in children with tic disorder (hepatic hyperactivity and wind-induced phlegm syndrome), and the clinical effect is positive.

Key words: Tic disorder, Chinese medicine, Massage, Child