针药结合耳穴贴压治疗肝肾阴虚型小儿多动症的临床研究
发布时间：2018-08-22 07:51
【摘要】：目的： 本课题采用临床科研方法学,进行随机对照研究,以针药结合耳穴贴压和中西药结合治疗为对照,观察针药结合耳穴贴压治疗肝肾阴虚型多动症患儿的临床疗效,旨在探讨针药结合耳穴贴压、中西药结合两种疗法治疗肝肾阴虚型多动症患儿的临床疗效的差异及其作用机理,为临床治疗小儿多动症提供依据。 方法： 2011年11月至2013年1月期间台湾明师中医诊所(经临床诊断为儿童多动症且符合纳入病例标准)的患儿63例,男性35例,女性28例。按1：1的比例随机分配至针药结合耳穴贴压组和中西药,其其中32例作为治疗组(针灸中药结合耳穴贴压治疗),31例作为对照组(中西药治疗)。西医诊断标准参照美国精神病学会制定的《精神障碍诊断和统计手册,DSM—IV》第四版,具体诊断标准所制定的有关儿童注意缺陷多动障碍的诊断标准,中医诊断标准采用参照《全国中医学会ADD研究协作组评分量表》制订的“中医虚证辨证参考标准”等有关小儿多动症内容制定肝肾阴虚辨证标准进行诊断。所有符合纳入标准病例按设计要求观察、治疗。疗程两个月。针刺：每周针刺3次,共治疗两个月；耳穴贴压：一周贴压三次,共治疗两个月；中药治疗：周5次,周末停服,共治疗两个月；西药(哌醋甲酯缓释片)：开始每次口服5mg,1日2次,共治疗两个月。疗效观察具体项目包括：全国中医学会ADD研究协作组评分量表》中肝肾阴虚证中医证候评分标准、Achenbach儿童行为量表Conners儿童行为量表、文测验联合型(Combined Raven's Test, CRT)。疗效评定标准主要照《全国中医学会ADD研究协作组评分量表》中中医证候疗效判定标准及《最新国内外疾病诊疗标准》中制定的注意缺陷与多动障碍症状的临床疗效标准及Conners量表的减分率。 数据分析采用统计软件SPSS17.0。计量资料用均数±标准差((?)±S)表示,计数资料用构成比(%)表示；计量资料组间比较采用t检验,自身前后比较用配对t检验或Wilcoxon配对秩和检验。分类资料组间比较采用X2检验,等级资料组间比较采用Ridit分析。假设检验统一使用双侧检验,给出检验统计量及其对应的P值,以P≤0.05有统计学意义,P≤0.01有显著性统计学意义。 结果： 治疗前针药结合耳穴贴压组、中西药组的性别、年龄、年龄构成、病程、中医症状积分、CBCL儿童行为量表总评分、多动指数评分、智力测定(瑞文测验联合型)评分得分经分析均无统计学意义,说明两组之间的临床基线资料具有可比性。疗效观察指标及疗效评定结果总结如下： ①中医症状各项评分 针药结合耳穴贴压组治疗前后各中医症状积分除面色、自汗外,其余各项得分相比较差异有统计学意义(P0.05),其中在改善肝肾阴虚型多动症患儿多动不宁、学习效率低、少睡多梦及夜惊、手足心热、盗汗方面疗效显著(P0.01)；中西药组疗前后各中医症状积分相比较,多动不宁、注意力不集中、学习效率低、心悸头晕、口干差异有统计学意义(P0.05)。 ②中医症状总积分 治疗一个疗程后,针药结合耳穴贴压组的中医症状总积分比中西药组得分减少,差异有统计学意义(P0.05)；两个疗程后,两组之间的肝肾阴虚型中医症状总积分比较仍有统计学意义(P0.01)。无论在短期疗效还是长期疗效方面,针药结合耳穴贴压对于改善肝肾阴虚型多动症患儿的中医症状的临床效果比中西药治疗更为显著。 ③CBCL儿童行为量表评分 治疗一个疗程后,针药结合耳穴贴压组CBCL儿童行为量表评分值比治疗前提高(P0.05),治疗两个疗程后患儿的行为情况得到明显改善(P0.01)中西药组方面,治疗一疗程后行为量表评分数值虽有提升,但无统计学差异,治疗两个疗程后患儿的行为情况可得到一定程度的好转(P0.05)。经两个疗程的治疗后,两组对于改善肝肾阴虚型多动症患儿的CBCL儿童行为量表评分均有一定疗效,但以针药结合耳穴贴压治疗的效果最为显著。 两个疗程治疗后,两组病例在CBCL儿童行为量表的各项社会能力部分比较方面,对于改善肝肾阴虚型多动症患儿的活动情况,针药结合耳穴贴压组比中西药组的得分明显提高,两组差异有显著统计学意义(P0.01)；社交情况、学校情况方面,两组得分相比较,差异不明显。 ④多动指数评分 治疗一疗程后,在改善肝肾阴虚型多动症患儿的多动指数方面,中西药组的多动指数评分虽比针药结合耳穴贴压组有所减少,但差异无统计学意义(P0.05)。治疗两疗程后,针药结合耳穴贴压组的多动指数明显比中西药组减少,差异具有统计学意义。从远期疗效来看,在改善肝肾阴虚型多动症患儿的多动指数方面,针药结合耳穴贴压治疗比中西药结合治疗效果较佳。 ⑤智力测定(瑞文测验联合型)评分 一个疗程的治疗后,针药结合耳穴贴压组、中西药组智力测定(瑞文测验联合型)评分无明显差异(P0.05)；两个疗程的治疗后,针药结合耳穴贴压组与中西药结合组比较智力情况评分改善幅度较大(P0.01)。对于改善肝肾阴虚型注意缺陷多动障碍患儿的智力情况方面,短期治疗两种疗法差异不明显,治疗两个疗程后,针药结合耳穴贴压治疗对于改善注意缺陷多动障碍患儿的智力效果比中西药结合治疗效果较佳。 ⑥中医证候疗效 针药结合耳穴贴压组临床控制人数4人、占12.50%,显效人数17人、占53.13%,有效人数9人、占28.12%,无效人数2人,占6.25%,总有效人数30人,总效率为93.75%；中西药组临床控制人数1人、占3.23%,显效人数10人、占32.26%,有效人数24人、占45.16%,无效人数6人,占19.35%,总有效人数25人,总效率为80.64%。提示：在改善缺肝肾阴虚型注意缺陷多动障碍患儿的中医证候疗效方面,针药结合耳穴贴压治疗与中西药治疗相比较,临床疗效较佳,能够较好改善注意缺陷多动障碍患儿多动不宁、注意力不集中、少睡多梦、夜惊、心悸头晕、手足心热、口干等中医症候。 ⑦注意缺陷与多动障碍症状疗效 针药结合耳穴贴压组痊愈人数3人、占9.375%,显效人数18人、占56.25%,有效人数8人、占25.00%,无效人数3人,占9.375%,总有效人数29人,总效率为90.63%；中西药组痊愈人数2人、占6.45%,显效人数9人、占29.03%,有效人数13人、占41.94%,无效人数7人,占22.58%,总有效人数24人,总效率为77.42%。提示：在改善缺肝肾阴虚型多动症患儿注意缺陷与多动障碍症状疗效方面,针药结合耳穴贴压治疗与中西药治疗相比较,临床疗效较佳。 结论： 本研究旨在探讨针药结合耳穴贴压、中西药结合两种疗法治疗肝肾阴虚型多动症患儿的临床疗效的差异及其作用机理,为临床治疗小儿多动症提供依据。研究结果针药结合耳穴贴压组和中西药组对肝肾阴虚型多动症患儿都有比较显著的疗效,能明显改善患者的临床症状方面,包括肝肾阴虚症状(少睡多梦及夜惊、手足心热、盗汗、口感)、社会活动能力、多动指数、智力等；中西药治疗虽然对于改善患儿的多动指数、社会活动能力、自控力、学习理解能力等方面有一定疗效,但短期治疗效果效果不尽如人意。相比之下,针药结合耳穴贴压疗法在肝肾阴虚型多动症患儿的JCBCL儿童行为量表评分、多动指数评分及中医症候各项症状的等方面较中西药治疗、具有更大的优势。针药结合耳穴贴压治疗小儿多动症,临床疗效显著,远期疗效明显,患者容易接受,是一种有效、便捷、经济、疗效持久、无毒副作用的治疗方法。
[Abstract]:Objective:
This subject adopts clinical scientific research methodology, carries on the randomized controlled study, takes the acupuncture and medicine union auricular point sticking pressure and the Chinese and Western medicine union treatment as the contrast, observes the acupuncture and medicine union auricular point sticking pressure treatment liver kidney yin deficiency type hyperactivity sickness child's clinical curative effect, aims at discussing the acupuncture and medicine union auricular point sticking pressure, the Chinese and Western medicine union two kinds of treatment liver kidney yin deficiency type hyperactivity sickness sickness sickne The difference of clinical curative effect and the mechanism of action are the basis for clinical treatment of ADHD in children.
Method:
From November 2011 to January 2013, 63 children, 35 males and 28 females, were randomly assigned to the acupuncture-drug combination auricular point pressing group and the traditional Chinese and Western medicines group in a ratio of 1:1. Western diagnostic criteria refer to the American Psychiatric Society's Diagnostic and Statistical Manual for Mental Disorders, DSM-IV, Fourth Edition. Specific diagnostic criteria refer to the diagnostic criteria for attention deficit hyperactivity disorder in children. The Chinese diagnostic criteria refer to the National Association of Chinese Medicine's ADD Research Collaborative Group Score. Scale > the formulation of the "TCM deficiency syndrome differentiation reference standard" and other related content of children with ADHD liver and kidney yin deficiency syndrome differentiation standard for diagnosis. Chinese medicine treatment: 5 times a week, weekend discontinuation, a total of two months; Western medicine (methylphenidate sustained-release tablets): each oral 5 mg, 2 times a day, a total of two months of treatment. The criteria for evaluating the efficacy of TCM syndromes and the criteria for evaluating the clinical efficacy of attention deficit and hyperactivity disorder symptoms and the Conners Scale were as follows: the criteria for evaluating the efficacy of TCM syndromes in the ADD Research Cooperative Group Scale of the National Society of Traditional Chinese Medicine; and the criteria for evaluating the clinical efficacy of attention deficit and hyperactivity disorder symptoms in the latest criteria for diagnosis and treatment of diseases at home and abroad. The reduction rate.
Statistical software SPSS17.0 was used to analyze the data. The mean (?) + standard deviation (?) + S was used to represent the measurement data, and the constituent ratio (%) was used to represent the counting data. Analysis. Assuming that the unifying use of bilateral test, test statistics and their corresponding P values were given, P < 0.05 was statistically significant, P < 0.01 was statistically significant.
Result:
Before treatment, there was no significant difference in gender, age, age composition, course of disease, score of TCM symptoms, total score of CBCL Child Behavior Scale, hyperactivity index score, intelligence test (Raven test combined type) score between the two groups. The indicators and curative effect evaluation results are summarized as follows:
Symptom scores of TCM
Acupuncture combined with auricular point pressing group before and after treatment, except complexion, sweat, the other scores were statistically significant (P 0.05), which in the improvement of liver and kidney Yin Deficiency Hyperactivity in children with restlessness, learning efficiency is low, less sleep and night terror, hand, foot, heart fever, night sweat significant effect (P 0.01); The scores of symptoms of TCM before and after treatment were significantly higher than those before treatment (P 0.05).
The total score of TCM symptoms
After one course of treatment, the total score of TCM symptoms of acupuncture combined with auricular point pressing group was significantly lower than that of traditional Chinese medicine group (P 0.05); after two courses of treatment, the total score of TCM symptoms of liver-kidney Yin deficiency type between the two groups was still statistically significant (P 0.01). Whether in the short-term or long-term efficacy, acupuncture combined with auricular acupuncture combined with Chinese medicine was still statistically significant. The clinical effect of acupoint sticking and pressing on improving the symptoms of children with hyperactivity of liver and kidney yin deficiency is more significant than that of traditional Chinese and Western medicine.
CBCL Child Behavior Scale score
After one course of treatment, the score of CBCL children's behavior scale in the Acupuncture-medicine combined with auricular point pressing group was higher than that before treatment (P 0.05). After two courses of treatment, the behavior of the children was significantly improved (P 0.01). Behavior can be improved to a certain extent (P 0.05). After two courses of treatment, two groups of children with hyperactivity of liver and kidney yin deficiency type CBCL behavior scale scores have a certain effect, but acupuncture combined with auricular plaster therapy is the most significant effect.
After two courses of treatment, the two groups of patients in CBCL children's behavior scale of various social ability comparison, for improving the activity of children with liver and kidney yin deficiency ADHD, acupuncture and medicine combined with auricular point pressing group than the Chinese and Western medicine group, the score was significantly higher, the two groups had significant statistical significance (P 0.01); social situation, school situation, school situation, and so on. The difference between the two groups was not obvious.
Hyperactivity index score
After one course of treatment, the scores of hyperactivity index in the Chinese and Western medicine group were lower than those in the acupuncture combined with auricular point pressing group, but there was no significant difference (P 0.05). After two courses of treatment, the hyperactivity index in the acupuncture combined with auricular point pressing group was significantly lower than that in the Chinese and Western medicine group. From the long-term effect point of view, in improving the hyperactivity index of children with liver-kidney Yin Deficiency Hyperactivity syndrome, acupuncture combined with auricular plaster therapy is better than traditional Chinese and Western medicine.
IQ (Raven test combined) score
After one course of treatment, there was no significant difference in intelligence score between the two groups (P 0.05); after two courses of treatment, the intelligence score of acupuncture combined with Auricular Acupoint Plaster group was improved more than that of the combination group (P 0.01). In terms of intelligence, there was no significant difference between the two short-term treatments. After two courses of treatment, the effect of acupuncture combined with Auricular Point Plaster Therapy on improving intelligence of children with attention deficit hyperactivity disorder was better than that of integrated Chinese and Western medicine.
Curative effect of TCM Syndrome
There were 4 clinical controllers (12.50%), 17 markedly effective (53.13%), 9 effective (28.12%), 2 ineffective (6.25%), 30 effective (93.75%) and 10 effective (32.26%), 24 effective (45.16%) and 6 ineffective (6.75%) in the acupuncture-drug-auricular plaster group, respectively. The total effective rate was 80.64%. It suggested that acupuncture combined with Auricular Acupoint Plaster Therapy had better clinical effect than traditional Chinese and Western medicine in improving the effect of TCM syndrome in children with ADHD of deficiency of liver and kidney yin. Less sleep, more dreams, night terrors, palpitations, dizziness, heat of hands and feet, dry mouth and other TCM symptoms.
Attention deficit hyperactivity disorder symptoms
The total effective rate was 90.63%. The total effective rate was 9.375%. The effective rate was 56.25%. The effective rate was 8%. The ineffective rate was 9.375%. The total effective rate was 90.63%. The total effective number was 24, the total effective rate was 77.42%.
Conclusion:
The purpose of this study is to explore the difference of clinical efficacy and mechanism of acupuncture combined with auricular point sticking therapy and combination of Chinese and Western medicine in treating children with hyperactivity disorder of liver and kidney yin deficiency, and to provide evidence for clinical treatment of children with hyperactivity disorder. The curative effect can obviously improve the clinical symptoms, including liver and kidney yin deficiency symptoms (less sleep and more sleep and night terror, hand and foot heat, night sweat, taste), social activity, hyperactivity index, intelligence, etc. Compared with traditional Chinese and Western medicine, acupuncture combined with auricular point sticking therapy has more advantages in JCBCL children's behavior scale score, hyperactivity index score and symptoms of TCM syndrome. It is an effective, convenient, economical, long-term, non-toxic and side-effect treatment method.
【学位授予单位】：广州中医药大学
【学位级别】：博士
【学位授予年份】：2013
【分类号】：R246.4
本文编号：2196470
[Abstract]:Objective:
This subject adopts clinical scientific research methodology, carries on the randomized controlled study, takes the acupuncture and medicine union auricular point sticking pressure and the Chinese and Western medicine union treatment as the contrast, observes the acupuncture and medicine union auricular point sticking pressure treatment liver kidney yin deficiency type hyperactivity sickness child's clinical curative effect, aims at discussing the acupuncture and medicine union auricular point sticking pressure, the Chinese and Western medicine union two kinds of treatment liver kidney yin deficiency type hyperactivity sickness sickness sickne The difference of clinical curative effect and the mechanism of action are the basis for clinical treatment of ADHD in children.
Method:
From November 2011 to January 2013, 63 children, 35 males and 28 females, were randomly assigned to the acupuncture-drug combination auricular point pressing group and the traditional Chinese and Western medicines group in a ratio of 1:1. Western diagnostic criteria refer to the American Psychiatric Society's Diagnostic and Statistical Manual for Mental Disorders, DSM-IV, Fourth Edition. Specific diagnostic criteria refer to the diagnostic criteria for attention deficit hyperactivity disorder in children. The Chinese diagnostic criteria refer to the National Association of Chinese Medicine's ADD Research Collaborative Group Score. Scale > the formulation of the "TCM deficiency syndrome differentiation reference standard" and other related content of children with ADHD liver and kidney yin deficiency syndrome differentiation standard for diagnosis. Chinese medicine treatment: 5 times a week, weekend discontinuation, a total of two months; Western medicine (methylphenidate sustained-release tablets): each oral 5 mg, 2 times a day, a total of two months of treatment. The criteria for evaluating the efficacy of TCM syndromes and the criteria for evaluating the clinical efficacy of attention deficit and hyperactivity disorder symptoms and the Conners Scale were as follows: the criteria for evaluating the efficacy of TCM syndromes in the ADD Research Cooperative Group Scale of the National Society of Traditional Chinese Medicine; and the criteria for evaluating the clinical efficacy of attention deficit and hyperactivity disorder symptoms in the latest criteria for diagnosis and treatment of diseases at home and abroad. The reduction rate.
Statistical software SPSS17.0 was used to analyze the data. The mean (?) + standard deviation (?) + S was used to represent the measurement data, and the constituent ratio (%) was used to represent the counting data. Analysis. Assuming that the unifying use of bilateral test, test statistics and their corresponding P values were given, P < 0.05 was statistically significant, P < 0.01 was statistically significant.
Result:
Before treatment, there was no significant difference in gender, age, age composition, course of disease, score of TCM symptoms, total score of CBCL Child Behavior Scale, hyperactivity index score, intelligence test (Raven test combined type) score between the two groups. The indicators and curative effect evaluation results are summarized as follows:
Symptom scores of TCM
Acupuncture combined with auricular point pressing group before and after treatment, except complexion, sweat, the other scores were statistically significant (P 0.05), which in the improvement of liver and kidney Yin Deficiency Hyperactivity in children with restlessness, learning efficiency is low, less sleep and night terror, hand, foot, heart fever, night sweat significant effect (P 0.01); The scores of symptoms of TCM before and after treatment were significantly higher than those before treatment (P 0.05).
The total score of TCM symptoms
After one course of treatment, the total score of TCM symptoms of acupuncture combined with auricular point pressing group was significantly lower than that of traditional Chinese medicine group (P 0.05); after two courses of treatment, the total score of TCM symptoms of liver-kidney Yin deficiency type between the two groups was still statistically significant (P 0.01). Whether in the short-term or long-term efficacy, acupuncture combined with auricular acupuncture combined with Chinese medicine was still statistically significant. The clinical effect of acupoint sticking and pressing on improving the symptoms of children with hyperactivity of liver and kidney yin deficiency is more significant than that of traditional Chinese and Western medicine.
CBCL Child Behavior Scale score
After one course of treatment, the score of CBCL children's behavior scale in the Acupuncture-medicine combined with auricular point pressing group was higher than that before treatment (P 0.05). After two courses of treatment, the behavior of the children was significantly improved (P 0.01). Behavior can be improved to a certain extent (P 0.05). After two courses of treatment, two groups of children with hyperactivity of liver and kidney yin deficiency type CBCL behavior scale scores have a certain effect, but acupuncture combined with auricular plaster therapy is the most significant effect.
After two courses of treatment, the two groups of patients in CBCL children's behavior scale of various social ability comparison, for improving the activity of children with liver and kidney yin deficiency ADHD, acupuncture and medicine combined with auricular point pressing group than the Chinese and Western medicine group, the score was significantly higher, the two groups had significant statistical significance (P 0.01); social situation, school situation, school situation, and so on. The difference between the two groups was not obvious.
Hyperactivity index score
After one course of treatment, the scores of hyperactivity index in the Chinese and Western medicine group were lower than those in the acupuncture combined with auricular point pressing group, but there was no significant difference (P 0.05). After two courses of treatment, the hyperactivity index in the acupuncture combined with auricular point pressing group was significantly lower than that in the Chinese and Western medicine group. From the long-term effect point of view, in improving the hyperactivity index of children with liver-kidney Yin Deficiency Hyperactivity syndrome, acupuncture combined with auricular plaster therapy is better than traditional Chinese and Western medicine.
IQ (Raven test combined) score
After one course of treatment, there was no significant difference in intelligence score between the two groups (P 0.05); after two courses of treatment, the intelligence score of acupuncture combined with Auricular Acupoint Plaster group was improved more than that of the combination group (P 0.01). In terms of intelligence, there was no significant difference between the two short-term treatments. After two courses of treatment, the effect of acupuncture combined with Auricular Point Plaster Therapy on improving intelligence of children with attention deficit hyperactivity disorder was better than that of integrated Chinese and Western medicine.
Curative effect of TCM Syndrome
There were 4 clinical controllers (12.50%), 17 markedly effective (53.13%), 9 effective (28.12%), 2 ineffective (6.25%), 30 effective (93.75%) and 10 effective (32.26%), 24 effective (45.16%) and 6 ineffective (6.75%) in the acupuncture-drug-auricular plaster group, respectively. The total effective rate was 80.64%. It suggested that acupuncture combined with Auricular Acupoint Plaster Therapy had better clinical effect than traditional Chinese and Western medicine in improving the effect of TCM syndrome in children with ADHD of deficiency of liver and kidney yin. Less sleep, more dreams, night terrors, palpitations, dizziness, heat of hands and feet, dry mouth and other TCM symptoms.
Attention deficit hyperactivity disorder symptoms
The total effective rate was 90.63%. The total effective rate was 9.375%. The effective rate was 56.25%. The effective rate was 8%. The ineffective rate was 9.375%. The total effective rate was 90.63%. The total effective number was 24, the total effective rate was 77.42%.
Conclusion:
The purpose of this study is to explore the difference of clinical efficacy and mechanism of acupuncture combined with auricular point sticking therapy and combination of Chinese and Western medicine in treating children with hyperactivity disorder of liver and kidney yin deficiency, and to provide evidence for clinical treatment of children with hyperactivity disorder. The curative effect can obviously improve the clinical symptoms, including liver and kidney yin deficiency symptoms (less sleep and more sleep and night terror, hand and foot heat, night sweat, taste), social activity, hyperactivity index, intelligence, etc. Compared with traditional Chinese and Western medicine, acupuncture combined with auricular point sticking therapy has more advantages in JCBCL children's behavior scale score, hyperactivity index score and symptoms of TCM syndrome. It is an effective, convenient, economical, long-term, non-toxic and side-effect treatment method.
【学位授予单位】：广州中医药大学
【学位级别】：博士
【学位授予年份】：2013
【分类号】：R246.4
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3 罗伟;;孩子好动不一定是多动症[J];家庭医学;2008年03期
4 王耀峰;;钩石龙牡汤治疗小儿多动症76例[J];医学研究通讯;2000年07期
5 陈秀华;针药结合治疗失眠症疗效观察[J];上海针灸杂志;2003年11期
6 赵承爱;辨证治疗小儿多动症20例[J];中国医药学报;2002年03期
7 孙庆涪,徐有强;耳穴贴压加防风通圣丸治疗肥胖症147例[J];四川中医;1988年02期
8 赵启然,彭红星;桂枝汤治疗小儿多动症30例[J];湖北中医杂志;1994年03期
9 袁慧敏;老年痴呆及小儿多动症的防治[J];健康;1996年02期
10 赵晓霞 ,向晖;小儿多动症的心理隐患[J];中国保健营养;1997年03期
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