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 ›› 2023, Vol. 15 ›› Issue (4): 290-294.doi: 10.3969/j.issn.1674-3865.2023.04.003

• 儿童抽动障碍康复专栏 • 上一篇    下一篇

菖郁动止方治疗儿童抽动障碍的临床疗效研究

王壮, 王永吉, 魏丽娜, 孔一卜, 王玺然   

  1. 130117 长春,长春中医药大学中医儿科学专业研究生(王壮,王玺然);130022 长春,长春中医药大学附属医院儿童诊疗中心(王永吉,魏丽娜,孔一卜)
  • 收稿日期:2023-05-10 出版日期:2023-08-25 上线日期:2023-08-25
  • 通讯作者: 王永吉,E-mail:18943188651@189.cn

Study on the clinical efficacy of Changyu Dongzhi prescription in the treatment of children with tic disorder

WANG Zhuang, WANG Yongji, WEI Lina, KONG Yibu, WANG Xiran   

  1. Changchun University of Chinese Medicine,Changchun 130117,China
  • Received:2023-05-10 Published:2023-08-25 Online:2023-08-25
  • Contact: WANG Yongji,E-mail:18943188651@189.cn

摘要: 目的 科学评价以风火同治立方的菖郁动止方治疗儿童抽动障碍(肝亢风动证)临床疗效,为临床应用提供循证学依据。方法 选取2021年9月至2022年12月长春中医药大学附属医院儿童诊疗中心收治住院的抽动障碍(肝亢风动证)患儿100例,随机分为观察组和对照组各50例。观察组给予菖郁动止方随证加减口服治疗,对照组给予可乐定透皮贴片贴敷治疗,治疗3个月,对两组临床疗效、平均病程、改善症状等方面进行比较。结果 观察组总有效率为96.0%(48/50),高于对照组84.0%(42/50),差异有统计学意义(P<0.05)。观察组耶鲁综合抽动严重程度评分、中医证候评分、病程时长、症状缓解情况评分均低于对照组,差异有统计学意义(P<0.05)。结论 菖郁动止方可有效缓解抽动障碍(肝亢风动证)症状、提高疗效,为抽动障碍提供了新的思路和方案,值得临床推广及应用。

关键词: 抽动障碍, 肝亢风动, 菖郁动止方, 风火同治, 儿童

Abstract: Objective To scientifically evaluate the clinical efficacy of Changyu Dongzhi prescription,which is based on a treatment method that simultaneously treats wind and fire,in the treatment of children with tic disorder (syndrome of liver wind hyperactivity),and to provide evidence-based evidence for clinical application.Methods A total of 100 children with tic disorder (syndrome of liver wind hyperactivity) were chosen, who were treated at the Children's Diagnosis and Treatment Center of Changchun University of Traditional Chinese Medicine Affiliated Hospital from September 2021 to December 2022, and they were randomly divided into two groups using a random number table method, with 50 children in each group. The experimental group was treated with Changyu Dongzhi prescription with modification, which was taken orally,while the control group was treated with clonidine transdermal patches for application. The treatment lasted for 3 months. The clinical efficacy,average course of disease,and improvement of symptoms between the two groups were compared.Results The total effective rate of experimental group was 96.0%(48/50),higher than that of control group(84.0%,42/50),and there was statistical difference(P<0.05). In terms of YGTSS,traditional Chinese medicine syndrome score,disease course, and degree of symptom relief, the experimental group was better than the control group,with statistical differences (P<0.05).Conclusion Changyu Dongzhi prescription can effectively alleviate the symptoms of tic disorder (syndrome of liver wind hyperactivity)and improve the therapeutic effect, which provides new ideas and plans for tic disorder,and is worthy of clinical promotion and application.

Key words:

Tic disorder, Hyperactivity of liver wind, Changyu Dongzhi prescription, Simultaneous treatment of wind and fire, Children