摘要
目的观察埋针结合中药对小儿多发性抽动症(TS)的临床疗效及安全性。方法 30例TS患儿均采取埋针结合中药疗法治疗,5周为1个疗程,共治疗2个疗程。观察治疗前,治疗1、2个疗程结束后临床疗效及耶鲁抽动症严重程度量表(YGTSS)评分,并记录不良反应。结果 30例患儿治疗过程中未见不良反应。治疗1个疗程后,愈显率为16.7%,总有效率为63.3%;2个疗程后,愈显率为73.3%,总有效率为96.7%,治疗2个疗程的总有效率和愈显率明显优于治疗1个疗程(P<0.01)。YGTSS评分,在治疗1个疗程时比治疗前显著降低(P<0.01),且随着治疗时间延长,评分持续降低,治疗2个疗程后比治疗1个疗程时又显著下降,差异有统计学意义(P<0.01)。结论埋针结合中药可以安全有效的治疗TS,且有一定的时间依赖性,长疗程的治疗优于短疗程,可明显改善患者的临床症状及生活质量,值得临床选择使用。
Objective To observe the clinical therapeutic effects and safety in the treatment of Tourette syndrome（TS） with embedding needle therapy and herbal medicine. Methods Thirty TS children received the embedding needle therapy and herbal medicine. The treatment for 5 weeks was as 1 session,2 sessions of treatments were required. Before treatment and at the end of 1 stand 2 ndsessions of treatment,the clinical therapeutic effects and the Yale global tic severity scale（YGTSS） score as well as the adverse reactions were recorded. Results Of 30 cases,no case has adverse reaction. After 1 session of treatment,the curative and remarkable effective rate was 16. 7%,the total effective rate was 63. 3%. After 2 session of treatment,the curative and remarkable effective rate was 73. 3%,the total effective rate was 96. 7%. The total effective rate and the curative and remarkable after 2 sessions of treatment were apparently better than those after 1 session of treatment（P〈0. 01）. YGTSS score after 1 session of treatment was lower significantly than that before treatment（P〈0. 01）. As the treatment extended,the score was getting lower. It was reduced more significantly after 2 sessions of treatment as compared with that after 1 session of treatment,indicating the significant difference（P〈0. 01）. Conclusion The embedding needle therapy and herbal medicine treat TS safely and effectively. This combined therapy presents a certain of time dependence. The results of long treatment session are better than those of short treatment session. The treatment relieves apparently the clinical symptoms and improves living quality. Hence,this combined therapy is applicable in clinic.
出处
《世界中西医结合杂志》
2017年第10期1422-1424,1428,共4页
World Journal of Integrated Traditional and Western Medicine
基金
基金项目 北京中医药大学"新奥奖教奖学基金"优秀传承团队
关键词
小儿多发性抽动症
埋针
针灸治疗
Tourette Syndrome
Embedding Needle Therapy
Acupuncture
