清心泻脾汤治疗小儿多发性抽动症（心脾积热型）的临床疗效观察

发布时间：2018-02-26 15:17

本文关键词： 小儿多发性抽动症清心泻脾汤心脾积热　出处：《长春中医药大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的：小儿多发性抽动症呈慢性、波动性和多发性的运动肌不自主抽动，伴不自主的发生性抽动及猥秽语言、模仿言语，呈复杂的、慢性神经精神疾病的表现。目前本病的发病率呈逐渐上升的趋势，越来越受人们的重视，西医对该病的病因病机及发病机制尚未完全明了，中医药治疗该病取得了很好的疗效。本文通过探讨清心泻脾汤治疗小儿多发性抽动症（心脾积热型）的临床疗效观察，，以解决该病患儿不易治愈，反复发作的困难问题，并作出科学的、客观的评价，从而为临床提供一种新的有效治疗方法。方法：以小儿多发性抽动症（心脾积热型）的患儿为研究对象，选取来自吉林省中医院儿科门诊患儿，均符合纳入标准，纳入病例30例，采用自身对照，自拟中药汤剂治疗，观察其疗效，以一个月为1个疗程，观察2个疗程，随访6个月。结果：通过治疗30例病例进行临床观察，治愈3例，显效14例，有效9例，无效4例。总有效率为86.67%，并且无明显的不良反应。结论：清心泻脾汤治疗小儿多发性抽动症（心脾积热型）的临床疗效确切，减少了反复发作的困难问题，且无毒副作用，因此为治疗本病提供了新的思路和新的有效药物治疗方法，值得进一步研究推广。
[Abstract]:Objective: children's multiple tic disorder is characterized by chronic, fluctuating and multiple motor muscle involuntary twitching, accompanied by involuntary twitching and obscene language, imitation of speech, and complexity. At present, the incidence of this disease is increasing gradually, and people pay more and more attention to it. Western medicine has not fully understood the etiology, pathogenesis and pathogenesis of the disease. This article discusses the clinical curative effect of Qingxin Xiepi decoction in treating children's multiple tic syndrome (heart and spleen accumulation heat type), in order to solve the difficult problem that the children with this disease are not easy to be cured and recurrent. Scientific and objective evaluation was made to provide a new effective treatment for clinical treatment. Methods: children with multiple tic syndrome (syndrome of heart and spleen) were selected from pediatric outpatient department of Jilin Province traditional Chinese Medicine Hospital, all of them met the inclusion criteria, 30 cases were included in the study, and 30 cases were treated with self-control and self-made traditional Chinese medicine decoction. Observe its curative effect, take one month as a course of treatment, observe 2 courses of treatment, follow up for 6 months. Results: through clinical observation of 30 cases, 3 cases were cured, 14 cases were markedly effective, 9 cases were effective, 4 cases were ineffective. The total effective rate was 86.67, and there was no obvious adverse reaction. Conclusion: Qingxin Xiepi decoction is effective in the treatment of children's multiple tic syndrome (heart and spleen accumulation heat type), reduces the difficulty of repeated attacks, and has no toxic and side effects. Therefore, it provides a new way of thinking and effective drug therapy for the treatment of this disease, and deserves further research and promotion.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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