摘要
目的:观察头皮针刺联合耳穴压豆治疗抽动症患儿的效果。方法:选取2022年5—12月该院收治的80例抽动症患儿进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各40例。对照组进行耳穴压豆治疗,观察组在对照组基础上联合头皮针刺治疗。比较两组治疗前后中医证候积分、临床疗效,治疗前及治疗4、8、12周后耶鲁综合抽动严重程度(YGTSS)评分和治疗前后血清学指标[谷氨酸(Glu)、天冬氨酸(Asp)]水平。结果:治疗后,观察组摇头、眨眼频繁、发声、清嗓、耸肩等中医证候积分均低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为92.50%,高于对照组的75.00%,差异有统计学意义(P<0.05);治疗4、8、12周后,观察组运动抽动、发声抽动、整体功能损害等各项YGTSS评分均低于对照组,差异有统计学意义(P<0.05);治疗后,观察组Glu、Asp水平均低于对照组,差异有统计学意义(P<0.05)。结论:头皮针刺配合耳穴压豆治疗抽动症患儿,可降低中医证候积分,提高临床疗效,减轻抽动症状,改善血清学指标水平,其效果优于耳穴压豆治疗。
Objective:To observe effects of scalp acupuncture combined with ear pressure beans in treatment of children with tic disorders.Methods:A prospective study was conducted on 80 children with tic disorders admitted to this hospital from May to December 2022.They were divided into control group and observation group according to the random number table method,40 cases in each group.The control group was treated with ear pressure beans,while the observation group was treated with scalp acupuncture on the basis of that of the control group.The TCM syndrome scores,the clinical efficacy,the Yale global tic severity scale(YGTSS)scores before and 4,8 and 12 weeks after the treatment,and the serological indicator levels[glutamate(Glu),aspartate(Asp)]levels before and after the treatment were compared between the two groups.Results:After the treatment,the scores of TCM syndromes such as shaking head,blinking frequently,vocalization,clearing throat and shrugging in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was 92.50%,which was higher than 75.00%in the control group,and the difference was statistically significant(P<0.05).After 4,8 and 12 weeks of treatment,the YGTSS scores of motor tic,vocal tic and overall functional impairment in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the levels of Glu and Asp in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Scalp acupuncture combined with ear pressure beans in the treatment of the children with tic disorders can reduce the TCM syndrome scores,improve the clinical efficacy,reduce the tic symptoms,and improve the serological indicator levels.Moreover,it is superior to ear pressure beans treatment.
作者
宋淑芬
王晓燕
SONG Shufen;WANG Xiaoyan(Department of Pediatrics of Zhengzhou TCM Hospital,Zhengzhou 450000 Henan,China)
出处
《中国民康医学》
2023年第13期116-119,共4页
Medical Journal of Chinese People’s Health
基金
2021年郑州市名医支持项目“儿童抽动障碍的中医药治疗”(郑卫科教[2022]9号)。
关键词
头皮针刺
耳穴压豆
儿童抽动症
中医证候积分
谷氨酸
天冬氨酸
Scalp acupuncture
Ear pressure beans
Tic disorders of children
TCM syndrome score
Glutamate
Aspartate
