摘要
目的:观察涤痰熄风法治疗小儿多发性抽动症的临床疗效。方法:将36例多发性抽动症患儿按随机数字表法分为治疗组和对照组,每组18例。治疗组口服玉真散加减方治疗,对照组口服硫必利治疗,治疗12周后,观察两组患者临床疗效和中医证候积分。结果:治疗组有效率为100.00%,对照组有效率为72.22%,两组比较,差异有统计学意义(P<0.05);治疗后治疗组中医证候积分改善优于对照组,差异有统计学意义(P<0.05);治疗组不良反应明显低于对照组。结论:涤痰熄风法治疗小儿多发性抽动症疗效显著。
Objective: To observe the clinical efficacy of Ditan Xifeng Method in treatment of children with multiple tic disorder.Methods: Thirty-six children with multiple tic disorder were divided into treatment group and control group according to the random number table. The treatment group was treated with modified Yuzhen Powder and the control group was treated with Tiapride. After12 weeks of treatment,the clinical efficacy and TCM syndrome scores of the two groups were observed. Results: The effective rate in the treatment group was 100% and that was 72. 22% in the control group. The difference was statistically significant( P <0. 05). The TCM syndrome score of the treatment group was better than that of the control group after treatment. The difference was statistically significant( P < 0. 05). The adverse reactions in the treatment group were significantly lower than those in the control group. Conclusion: The efficacy of Ditan Qufeng Method in treatment of children with multiple tic disorder is significant.
引文
[1]中华中医药学会.中医儿科常见病诊疗指南[S].北京:中国中医药出版社,2012:73-76.
[2]朱先康,韩新民,王敏华,等.定抽颗粒治疗小儿多发性抽动症30例临床观察[J].江苏中医药,2009,41(2):37-38.
[3]Kurlan R.Handbook of Tourette syndrome and related tic and behavioral disorders[M].New York:Maecel Dekker,2005:155-171.
[4]中华医学会儿科分会.神经学组-儿童抽动障碍的诊断和治疗建议[S].中华儿科杂志,2013,51(1):72-75.
[5]中华医学会精神科分会.中国精神障碍分类与诊断标准[M].3版.济南:山东科学技术出版社,2001:97.
[6]郑毅.儿童抽动障碍药物治疗[J].中国儿科实用杂志,2012,27(7):491-494.
[7]颜燕银,何镇辉.论我国占代对破伤风的认识[J].中围中医骨伤科杂志,1991,7(6):53.
[8]许叔微.普济本事方[M].上海:上海科技出版社,1959,92.
[9]陈实功.外科正宗[M].上海:上海科技出版社,1989,264.