自拟清热肝煎结合心理疗法治疗儿童多动症的临床疗效

发布时间：2018-01-12 00:12

本文关键词：自拟清热肝煎结合心理疗法治疗儿童多动症的临床疗效　出处：《中华中医药学刊》2017年07期 　论文类型：期刊论文

【摘要】：目的:探讨自拟清热肝煎结合心理疗法治疗儿童多动症的临床疗效。方法:将2015年12月—2016年12月在医院儿科治疗的120例儿童多动症患者随机分为两组,所有患者均辨证为心肾不交、肝阳化风证,对照组采用自拟清热肝煎治疗,观察组采用自拟清热肝煎结合心理疗法治疗,比较两组患者的临床疗效、中医症候改善情况、心理症状改善情况。结果:观察组治疗有效率为95%,显著高于对照组的76.67%,差异有统计学意义(P0.05);观察组治疗后躁动不安、手足多动、注意力不集中、烦躁易怒、心烦多梦、潮热盗汗等中医症候积分明显低于对照组,差异有统计学意义(P0.05);观察组治疗后品行问题、学习问题、心身问题、冲动-多动、焦虑、多动指数等PSQ评分明显较对照组改善,差异有统计学意义(P0.05)。结论:自拟清热肝煎结合心理疗法治疗儿童多动症效果显著,切中病因病机,改善症状效果明显,具有积极的临床意义。
[Abstract]:Objective: to explore the clinical effect of self-made Qingregan decoction combined with psychotherapy on hyperactivity disorder in children. From December 2015 to December 2016, 120 children with ADHD were randomly divided into two groups. All the patients were diagnosed as heart and kidney disjunction, liver Yang and wind syndrome, the control group was treated with self-made Qingre liver decoction, the observation group was treated with self-made Qingre liver decoction combined with psychological therapy, and the clinical efficacy of the two groups was compared. Results: the effective rate of treatment in the observation group was 95, significantly higher than that in the control group, 76.677.The difference was statistically significant (P 0.05). In the observation group, the scores of restlessness, hyperactivity, inattention, irritability, restlessness and dreams, hot tide and night sweating were significantly lower than those in the control group, and the difference was statistically significant (P 0.05). The PSQ scores of behavior problems, learning problems, psychosomatic problems, impulse-hyperactivity, anxiety and hyperactivity index in the observation group were significantly improved than those in the control group. Conclusion: the effect of self-made Qingregan decoction combined with psychotherapy on hyperactivity disorder in children is remarkable, the etiology and pathogenesis are cut, the effect of symptom improvement is obvious, and it has positive clinical significance.
【作者单位】：沈阳大学;辽宁中医药大学附属医院;
【基金】：辽宁省社科联项目(2015lsljdwt-49)
【分类号】：R277.7
【正文快照】： 儿童多动症(ADHD)是临床儿科较为常见的一类行为障碍性疾病,又称为注意缺陷多动障碍。本病多于学龄前发病,男孩发病率明显高于女孩,表现为学习困难和行为障碍,临床可见注意力不集中、活动过多、情绪易激动等,大多可伴有感觉统合失调,出现一系列动作、思维、行为、知觉、记忆等

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