导赤降肝汤治疗心肝火旺型小儿多发性抽动症的临床观察

发布时间：2018-10-24 16:35

【摘要】：目的：观察导赤降肝汤治疗心肝火旺型小儿多发性抽动症的临床疗效,并通过疗效评价以探讨小儿多发性抽动症治疗的中医优势。 方法：收集符合诊断标准的患儿60例(于2013年04月到2014年2月在成都中医药大学附属医院儿科门诊病人中选取),将60例患儿根据对照原则分为治疗组和对照组各30例。治疗组给予中药汤剂导赤降肝汤口服；对照组给予泰必利片口服。疗程4周,统计观察两组治疗前后症状积分并得出疗效差异。 结果：治疗组及治疗组对小儿多发性抽动症均有治疗作用,主症疗效比较：治疗组总有效率93.3%、对照组总有效率80.0%,差异性显著(P0.05),治疗组效果优于对照组；在治疗运动性抽动方面,尤其是在减少抽动数量、干扰性方面,治疗组优于治疗组。针对次症方面(面色、情绪、睡眠)的疗效,治疗组优于对照组。 结论：两组药物对小儿TS的治疗效果且治疗组优于对照组,说明导赤降肝汤治疗多发性抽动症具有较好的临床疗效,其作用优于泰必利的临床疗效。
[Abstract]:Objective: to observe the clinical effect of Daochijianggan decoction (DQGTang) in the treatment of multiple tic syndrome in children with heart, liver and fire, and to explore the advantages of traditional Chinese medicine (TCM) in the treatment of pediatric multiple tic syndrome through the evaluation of curative effect. Methods: 60 children who met the diagnostic criteria (selected from April 2013 to February 2014) were divided into treatment group (n = 30) and control group (n = 30) according to the control principle. The treatment group was treated with traditional Chinese medicine decoction Daochijianggan decoction and the control group with tiapride tablets. The symptom scores before and after treatment were statistically observed and the difference of curative effect was obtained. Results: the treatment group and the treatment group all have the treatment function to the child multiple tic disorder, the main symptom curative effect comparison: the treatment group total effective rate 93. 3, the control group total effective rate 80. 0%, the difference is significant (P0.05), the treatment group effect is superior to the control group, in the treatment movement twitch aspect, Especially in reducing the number of twitching, interference, the treatment group is better than the treatment group. The therapeutic effect of the treatment group was better than that of the control group in terms of secondary symptoms (facial appearance, mood, sleep). Conclusion: the therapeutic effect of the two drugs on children with TS is better than that of the control group, which indicates that Daochijianggan decoction has a better clinical effect in the treatment of multiple tic syndrome, and its effect is better than that of Tiapride.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R272

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