ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2023, Vol. 15 ›› Issue (6): 486-489.

• 儿童抽动障碍康复专栏 • 上一篇    下一篇

祛风止动方治疗儿童抽动障碍外风引动证临床观察

  

  • 出版日期:2023-12-25 上线日期:2024-03-06

Clinical observation of Qufeng Zhidong prescription in the treatment of exogenous wind syndrome of tic disorder in children

  • Published:2023-12-25 Online:2024-03-06

摘要: 目的 探讨祛风止动方治疗儿童抽动障碍外风引动证的临床疗效。方法 选取2021年2月至2022年6月于宜兴市中医医院儿科门诊就诊的抽动障碍外风引动证患儿80例,随机分为观察组和对照组各40例。观察组口服祛风止动方,对照组口服盐酸硫必利,两组治疗疗程均为8周。比较两组患儿临床总有效率、治疗前后中医证候积分变化、治疗前后抽动症状严重程度积分变化、复发率及不良反应情况。结果 观察组总有效率为92.5%(37/40),高于对照组75.0%(30/40),差异有统计学意义(P<0.05)。治疗8周后,两组抽动严重程度及中医临床证候积分均低于治疗前,且观察组积分显著降低,组间比较差异有统计学意义(P<0.05)。3个月和6个月随访,两组复发率比较差异均无统计学意义(P>0.05)。结论 祛风止动方治疗儿童抽动障碍外风引动证的临床疗效好,可明显改善患儿的临床症状及体征,用药安全性高,值得进一步深入研究。

关键词: 抽动障碍, 祛风止动方, 临床疗效, 积分变化, 中医治疗, 儿童

Abstract: ObjectiveTo investigate the clinical efficacy of Qufeng Zhidong prescription in the treatment of children with exogenous wind syndrome of tic disorder. MethodsFrom February 2021 to June 2022 in the pediatric clinic of Yixing Hospital of Traditional Chinese Medicine,80 children diagnosed with exogenous wind syndrome of tic disorder were randomly divided into treatment group and control group,40 cases in each group.The treatment group was treated with Qufeng Zhidong prescription taken orally,while the control group was treated with tiapride hydrochloride taken orally.Both groups were treated for 8 weeks.The total clinical effective rate,changes in TCM syndrome score before and after treatment,changes in tic symptom severity scale score before and after treatment,recurrence rate and adverse reactions were compared between the two groups.ResultsThe total effective rate was 92.5%(37/40) in the treatment group and 75.0%(30/40) in the control group.There was significant difference between the two groups (P<0.05).After 60 days of treatment,the scores of tic severity and TCM clinical syndromes in both groups were lower than those before treatment,and the scores in the treatment group were significantly lower than those in the control group(P<0.05).At the 3-month and 6-month follow-up,there was no statistical difference in the recurrence rate between the two groups(P>0.05).ConclusionQufeng Zhidong prescription has a good clinical effect in the treatment of children exogenous wind syndrome of tic disorder,which can significantly improve the clinical signs and symptoms of children and has high safety,and is worthy of further study.

Key words: Tic disorder, Qufeng Zhidong prescription, Clinical curative effect, Changes in scores, TCM treatment, Children