宋铁玎教授治疗小儿抽动症经验浅探

发布时间：2018-01-15 10:36

本文关键词：宋铁玎教授治疗小儿抽动症经验浅探　出处：《辽宁中医药大学》2014年硕士论文　论文类型：学位论文

【摘要】：小儿抽动秽语综合征是临床常见疾病，，已成为严重威胁小儿健康的慢性疾病之一。宋铁玎教授从事儿科临床工作30余载，根据多年的临床观察与实践总结出小儿抽动秽语综合征多是由于儿童面临过高的学习压力或受到惊吓出现肝失疏泄，气机不畅；或因小儿脏腑娇嫩，极易感受外邪，诱发本病；其次饮食因素也是诱发本病的关键因素，小儿脾常不足，加之家长恐孩子饥饿，过食油炸生冷辛辣之品，从而出现脾失健运，聚湿成痰，痰浊内蕴，伏留于体内，易促发本病；最后，遗传因素，10％一60％的抽动症患者有阳性家族史。西医药物治疗儿童抽动障碍的主要是多巴胺受体阻滞剂，如氟哌啶醇，泰必利，使用这些药物后对肝脏和肾脏损伤相对严重，而且强烈典型的椎体外系副反应也给患儿造成很大的痛苦。而中医在治疗本病上有一定优势，除了克服西药的药物副反应外，而且还可依据小儿体质特点做出整体的调节。宋老师根据发病诱因及机制，将此病分为脾虚肝亢，肝郁化火，肝肾阴虚证型，从调节肝脾肾入手，取得较好效果。本文通过对宋教授治疗小儿抽动症的临床经验介绍，从而丰富了对本病的病因病机，辩证论治，用药等方面理论与临床研究，可以为治疗儿童抽动综合征的临床医生，提供很好的指导作用。
[Abstract]:Tourette syndrome is a common clinical disease, which has become one of the chronic diseases that seriously threaten the health of children. Professor Song Tieding has been working in pediatrics for more than 30 years. According to the clinical observation and practice for many years, it is concluded that the children's Tourette syndrome is mostly due to the high learning pressure or the shock of children, the liver is lost and the qi is not free. Or because the child viscera delicate, easy to feel external evil, induce this disease; Secondly, dietary factors are also the key factors to induce this disease, the spleen of children is often insufficient, plus parents fear that children are hungry, eat fried cold and spicy products, resulting in spleen health, accumulation of dampness into phlegm, phlegm turbid inside. Remain in the body, easy to promote the disease; Finally, 10%-60%% of the patients had a positive family history. Western medicine treatment of children with tic disorders is mainly dopamine receptor blockers, such as haloperidol, tiapride. After the use of these drugs on the liver and kidney injury is relatively serious, and the strong typical side effects of the vertebral system also caused great pain to children. And Chinese medicine has a certain advantage in the treatment of this disease. In addition to overcoming the side effects of western medicine, but also according to the physical characteristics of children to make the overall regulation. According to the inducement and mechanism, teacher Song divided the disease into spleen deficiency and liver hyperactivity, liver stagnation and fire, liver and kidney yin deficiency syndrome type. Through the introduction of Professor Song's clinical experience in the treatment of infantile tic syndrome, this article enriches the etiology, pathogenesis and dialectical treatment of this disease. The theoretical and clinical studies on drug use can provide good guidance for the clinicians in the treatment of children tic syndrome.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R249;R277.7

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