本文關(guān)鍵詞：宋鐵玎教授治療小兒抽動(dòng)癥經(jīng)驗(yàn)淺探　出處：《遼寧中醫(yī)藥大學(xué)》2014年碩士論文　論文類(lèi)型：學(xué)位論文

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【摘要】：小兒抽動(dòng)穢語(yǔ)綜合征是臨床常見(jiàn)疾病，，已成為嚴(yán)重威脅小兒健康的慢性疾病之一。宋鐵玎教授從事兒科臨床工作30余載，根據(jù)多年的臨床觀察與實(shí)踐總結(jié)出小兒抽動(dòng)穢語(yǔ)綜合征多是由于兒童面臨過(guò)高的學(xué)習(xí)壓力或受到驚嚇出現(xiàn)肝失疏泄，氣機(jī)不暢；或因小兒臟腑嬌嫩，極易感受外邪，誘發(fā)本病；其次飲食因素也是誘發(fā)本病的關(guān)鍵因素，小兒脾常不足，加之家長(zhǎng)恐孩子饑餓，過(guò)食油炸生冷辛辣之品，從而出現(xiàn)脾失健運(yùn)，聚濕成痰，痰濁內(nèi)蘊(yùn)，伏留于體內(nèi)，易促發(fā)本病；最后，遺傳因素，10％一60％的抽動(dòng)癥患者有陽(yáng)性家族史。西醫(yī)藥物治療兒童抽動(dòng)障礙的主要是多巴胺受體阻滯劑，如氟哌啶醇，泰必利，使用這些藥物后對(duì)肝臟和腎臟損傷相對(duì)嚴(yán)重，而且強(qiáng)烈典型的椎體外系副反應(yīng)也給患兒造成很大的痛苦。而中醫(yī)在治療本病上有一定優(yōu)勢(shì)，除了克服西藥的藥物副反應(yīng)外，而且還可依據(jù)小兒體質(zhì)特點(diǎn)做出整體的調(diào)節(jié)。宋老師根據(jù)發(fā)病誘因及機(jī)制，將此病分為脾虛肝亢，肝郁化火，肝腎陰虛證型，從調(diào)節(jié)肝脾腎入手，取得較好效果。本文通過(guò)對(duì)宋教授治療小兒抽動(dòng)癥的臨床經(jīng)驗(yàn)介紹，從而豐富了對(duì)本病的病因病機(jī)，辯證論治，用藥等方面理論與臨床研究，可以為治療兒童抽動(dòng)綜合征的臨床醫(yī)生，提供很好的指導(dǎo)作用。
[Abstract]:Tourette syndrome is a common clinical disease, which has become one of the chronic diseases that seriously threaten the health of children. Professor Song Tieding has been working in pediatrics for more than 30 years. According to the clinical observation and practice for many years, it is concluded that the children's Tourette syndrome is mostly due to the high learning pressure or the shock of children, the liver is lost and the qi is not free. Or because the child viscera delicate, easy to feel external evil, induce this disease; Secondly, dietary factors are also the key factors to induce this disease, the spleen of children is often insufficient, plus parents fear that children are hungry, eat fried cold and spicy products, resulting in spleen health, accumulation of dampness into phlegm, phlegm turbid inside. Remain in the body, easy to promote the disease; Finally, 10%-60%% of the patients had a positive family history. Western medicine treatment of children with tic disorders is mainly dopamine receptor blockers, such as haloperidol, tiapride. After the use of these drugs on the liver and kidney injury is relatively serious, and the strong typical side effects of the vertebral system also caused great pain to children. And Chinese medicine has a certain advantage in the treatment of this disease. In addition to overcoming the side effects of western medicine, but also according to the physical characteristics of children to make the overall regulation. According to the inducement and mechanism, teacher Song divided the disease into spleen deficiency and liver hyperactivity, liver stagnation and fire, liver and kidney yin deficiency syndrome type. Through the introduction of Professor Song's clinical experience in the treatment of infantile tic syndrome, this article enriches the etiology, pathogenesis and dialectical treatment of this disease. The theoretical and clinical studies on drug use can provide good guidance for the clinicians in the treatment of children tic syndrome.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類(lèi)號(hào)】：R249;R277.7

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