调肝熄风法对阴虚风动型小儿多发性抽动症的疗效评价

发布时间：2018-01-14 01:26

本文关键词：调肝熄风法对阴虚风动型小儿多发性抽动症的疗效评价　出处：《南京中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：研究目的：对调肝熄风法治疗阴虚风动型小儿多发性抽动症的疗效评价进行验证分析,为儿童多发性抽动症阴风动型,提供新的临床依据和治疗方案,以指导临床治疗。研究方法：将60例符合纳入标准的抽动症患者,按照随机数字表法分为治疗组和对照组各30例。治疗组取肝俞、合谷、太冲等为主穴进行针刺治疗,对照组仅予口服肌苷加维生素B6。采用美国儿童精神病研究院的耶鲁抽动程度综合量表(YGTSS),对治疗前后两组的YGTSS分值进行测定,依据YGTSS量表的减分率,对本研究进行临床疗效评定。以治疗前后YGTSS评分改变百分比的平均值(减分率)作为判定参数。比较治疗4周后两组患者抽动情况,以及治疗4周后、随访3个月时两组患者YGTSS量表的减分率。通过两组间YGTSS量表的减分率的比较,评估调肝熄风法治疗小儿阴虚风动型抽动症的临床疗效。以上数据都采用SPSS19.0统计软件进行处理。研究结果：治疗组和对照组在治疗前YGTSS评分经t检验,P0.05,两者具有可比性。治疗后两组YGTSS评分经检验分析,评分均有不同程度降低,且差异具有统计学意义,P0.05,说明两组治疗均有效。在临床疗效观察中,通过治疗前后YGTSS评分的减分率判定,治疗组共29例患儿,痊愈13例,显效14例,有效1例,无效1例,总有效率为96.55%,对照组共28例患儿,痊愈4例,显效12例,有效8例,无效4例,总有效率为85.71%。通过统计学分析,P0.05,治疗组和对照组差异有显著性意义,说明治疗组临床疗效优于对照组。后期随访中发现,治疗组复发10例,对照组复发18例,通过统计学分析,p0.05,治疗组和对照组复发率有显著性意义,说明治疗组复发率低于对照组。结论：调肝熄风法治疗阴虚风动型小儿多发性抽动症疗效确切,且复发率低,没有副作用。
[Abstract]:Objective: to evaluate the curative effect of regulating the liver and dissipating the wind in the treatment of children with multiple dysphoria due to yin deficiency and wind movement, so as to provide a new clinical basis and treatment scheme for children with multiple dysmenia. In order to guide clinical treatment. Methods: 60 patients with tic disorder were divided into treatment group (30 cases) and control group (30 cases) according to random digital table. Gan Shu and Hegu were taken from treatment group. The patients in the control group were treated only with inosine and vitamin B6. The Yale tic degree scale (YGTSS) of American Institute of Childhood Psychiatry was used. The YGTSS scores of the two groups were measured before and after treatment, and the decrease rate of the YGTSS scale was used. The clinical efficacy of this study was evaluated. The mean value of the percentage of changes in YGTSS score before and after treatment was taken as the judgment parameter. The twitch status of the two groups after 4 weeks of treatment and 4 weeks after treatment were compared. After 3 months of follow-up, the rate of YGTSS reduction was compared between the two groups by comparing the YGTSS scale between the two groups. To evaluate the clinical effect of regulating liver and dissipating wind in treating children with Yin-deficiency and wind-induced tic disorder. All the above data were treated by SPSS19.0 software. The results of the study were as follows:. The YGTSS scores of the treatment group and the control group were tested by t test before treatment. P0.05, the two groups are comparable. After treatment, the YGTSS scores of the two groups were reduced in varying degrees after treatment, and the difference was statistically significant (P0.05). In the observation of clinical curative effect, 29 cases of children in treatment group were cured, 14 cases were effective and 1 case was effective, according to the decrease rate of YGTSS score before and after treatment. One case was ineffective and the total effective rate was 96.55%. In the control group, 28 cases were cured, 12 cases were cured, 8 cases were effective, and 4 cases were ineffective. The total effective rate was 85.71%. P0.05, there was significant difference between the treatment group and the control group, which indicated that the clinical efficacy of the treatment group was better than that of the control group. In the late follow-up, 10 cases of recurrence were found in the treatment group and 18 cases in the control group. The recurrence rate of the treatment group and the control group was significantly higher than that of the control group. Conclusion: the method of regulating liver and dispelling wind is effective in treating children with multiple tic syndrome of yin deficiency and wind movement, and the recurrence rate is low and no side effects.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7

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