摘要
目的:探讨中医药疗法对儿童期常见行为问题儿童多动症的干预作用。资料来源:采用复旦大学医学光盘检索系统的中国生物医学文献数据库,检索1980-01/2002-12有关儿童多动症发病及中医药治疗方面的文献,限定语言种类为中文,检索词为“轻微脑损伤综合征、中医疗法、中药疗法”。资料选择:对于文献体例无具体限制,包括观察对比、经验总结、个案报告等。查找文献全文。质量评价主要考察资料的真实性,调查设计是否严密。资料提炼:共检索到35篇关于儿童多动症发病及中医药治疗方面的文献,排除9篇重复研究的文章后,对余下26篇文章进行综合分析。资料综合:中医认为儿童多动症主要由脏腑功能失常、阴阳失调引起,与心肝脾肾关系密切,以阴虚阳亢为根本。临床上多选用健脾滋肾、平肝潜阳、养心安神的药物及针灸、耳穴疗法进行干预。动物实验显示,健脾滋肾、平肝潜阳、养心安神的药物能显著提高小鼠脑中神经递质去甲肾上腺素和多巴胺的含量,从而增加中枢神经系统的抑制活动。临床研究表明,针灸、耳穴疗法均能有效改善患儿的行为障碍。结论:中医药疗法能针对儿童多动症的起因,从而全面改善患儿的行为障碍,而且无中枢神经兴奋药的毒副作用,能增强体质、促进食欲。但所检索文献多为中医辩证或验方研究,尚缺乏临床随机对照,需今后进一步提高。
OBJECTIVE： To probe into the interventional effect of traditional Chinese medicine therapeutic methods on childhood attention deficit hyperactivity disorder （ADHD）. DATA SOURCES： A search of Chinese Biological Medicine Database through the Fudan Univemity Disk Searching system was undertaken to identify the literatures about the attack and traditional Chinese medicine therapeutic methods of ADHD published in Chinese from January 1980 to December 2002 by using the keywords of “mild brain injury syndrome, traditional Chinese medicine therapeutic methods, Chinese herb therapeutic methods”. STUDY SELECTION： No limitation has been set on the literatures on comparative study of the observed data, experience summary and case re- port. The full-texts were scanned. The reality of the data and the accuracy of the design were mainly considered for the quality evaluation. DATA EXTRACTION： Totally 35 articles about the attack and traditional Chinese medicine therapeutic methods of ADHD were collected, 9 repetitive ones were excluded,and then the rest 26 were comprehensively analyzed. DATA SYNTHESIS： It was believed in traditional Chinese medicine that ADHD was mainly caused by the dysfunction of zang and fu, the disturbance of yin and yang, it was closely correlated with heart, liver, spleen and kidney, and rooted from the deficiency of yin and hyperactivity of yang. Clinically, the drugs, which were for strengthening spleen and nourishing kidney, calming liver and suppressing yang hyperactivity, nourishing heart to calm mind, acupuncture and auricular therapy were used. The animal experiments showed that the drugs mentioned above could significantly increased the contrents of neurotransmitter norepinephrine and dopamine in brain, and then enhance the inhibition of central nervous system. Clinical studies indicated that both acupuncture and auricular therapy could effectively ameliorate the behavioral disorder of the ADHD children. CONCLUSION： There is certain perspective in the practical therapy with traditional Chinese medicine for childhood ADHD. However, since the literatures searched were mostly of therapy according to the symptoms discrimination in traditional Chinese medicine and verified prescriptions, and lack of clinical randomized control study, more study should be done to further improve the aforementioned study results.
出处
《中国临床康复》
CSCD
北大核心
2005年第28期163-165,共3页
Chinese Journal of Clinical Rehabilitation
