静息方治疗多发性抽动症的临床观察

发布时间：2018-02-11 23:56

本文关键词： 多发性抽动症静息方临床观察　出处：《西南医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:观察静息方治疗多发性抽动症的临床疗效,评估该方治疗多发性抽动症的有效性及临床应用价值。方法:搜集2015年1月至2017年1月就诊于西南医科大学附属中医医院儿科的60例多发性抽动症患儿,采用随机对照的方法,将60例患儿分为中药组和西药组,每组各30例。中药组以静息方为组方辨证加减治疗,西药组口服氟哌啶醇治疗。总治疗疗程为10周。治疗前后根据耶鲁综合抽动严重程度量表对患儿进行评分,观察中药组及西药组的减分情况,对两组的疗效进行评估。结果:静息方的治疗效果与西药组相似,但静息方临床副作用少于西药组。中药组有2例患儿出现腹泻症状,给予调整用药后症状消失。西药组有5例患儿出现恶心、呕吐,2例患儿出现失眠、头痛症状。中药组总有效率为90.0%,治愈2例,显效5例,好转20例,无效3例;西药组有效率为93.3%,其中治愈4例,显效6例,好转18例,无效2例。两组间治疗疗效无显著差异,经治疗后两组临床症状均得到改善。结论:通过本研究发现,中药静息方与西药氟哌啶醇相比,静息方能有效改善多发性抽动症患儿的症状,副作用少,安全有效。
[Abstract]:Objective: to observe the clinical effect of resting prescription in the treatment of multiple tic syndrome. Methods: from January 2015 to January 2017, 60 children with multiple tic syndrome in pediatrics department of affiliated Hospital of traditional Chinese Medicine of Southwest Medical University were collected and randomly controlled. 60 cases of children were divided into Chinese medicine group and western medicine group, 30 cases in each group. The western medicine group was treated with haloperidol orally. The total course of treatment was 10 weeks. The children were graded according to the Yale comprehensive severity scale before and after treatment, and the scores of the traditional Chinese medicine group and the western medicine group were observed. Results: the curative effect of the two groups was similar to that of the western medicine group, but the clinical side effect of the rest prescription was less than that of the western medicine group. In the western medicine group, there were 5 cases of nausea, 2 cases of vomiting and 2 cases of insomnia and headache. The total effective rate of the Chinese medicine group was 90.0%, 2 cases were cured, 5 cases were obviously effective, 20 cases were improved, 3 cases were ineffective. The effective rate of the western medicine group was 93.3g, of which 4 cases were cured, 6 cases were markedly effective, 18 cases were improved and 2 cases were ineffective. There was no significant difference in the curative effect between the two groups, and the clinical symptoms of the two groups were improved after treatment. Compared with the western medicine haloperidol, the resting prescription can effectively improve the symptoms of children with multiple tic syndrome, less side effects, safe and effective.
【学位授予单位】：西南医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R277.7

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