本文關(guān)鍵詞：參天止動(dòng)湯治療多發(fā)性抽動(dòng)癥脾虛肝亢型臨床觀察　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的:探察參天止動(dòng)湯對(duì)小兒多發(fā)性抽動(dòng)癥脾虛肝亢型的治療效果及副作用。方法:本次課題的樣本選自符合納入標(biāo)準(zhǔn)的多發(fā)性抽動(dòng)癥的患兒60例,應(yīng)用隨機(jī)分組法,將其分為治療組和對(duì)照組各30例。其中治療組給以患兒口服參天止動(dòng)湯,對(duì)照組予鹽酸硫必利片,并對(duì)兩組患兒家長(zhǎng)進(jìn)行教育宣傳和指導(dǎo)病情。治療共8周,后進(jìn)行兩組綜合療效評(píng)定對(duì)比,包括總療效、耶魯抽動(dòng)量表積分程度的改善、運(yùn)動(dòng)和發(fā)聲抽動(dòng)的改善以及中醫(yī)癥候的改善情況。隨訪2個(gè)月,觀察副作用。結(jié)果:經(jīng)8周醫(yī)治后,在抽動(dòng)方面治療組的總有效率為96.67%,對(duì)照組的總有效率為86.67%,兩組總療效有明顯差異(P0.05),表明治療組的總有效率明顯高于對(duì)照組;而中醫(yī)癥候總有效率治療組為100.00%,對(duì)照組為63.33%,p0.05,治療組顯著優(yōu)于對(duì)照組。兩組組內(nèi)在用藥前后進(jìn)行對(duì)比,在YGTSS積分和中醫(yī)癥候積分兩個(gè)方面的差異均具有統(tǒng)計(jì)學(xué)意義(P0.05),即治療有效;兩組樣本治療后比較,治療組和對(duì)照組同樣在以上兩方面差異具有統(tǒng)計(jì)學(xué)意義(P0.05),表明治療組療效明顯優(yōu)于對(duì)照組。治療組不存在不良事件,對(duì)照組存在2例。結(jié)論:1.參天止動(dòng)湯治療兒童多發(fā)性抽動(dòng)癥脾虛肝亢型優(yōu)于西藥鹽酸硫必利片,在減輕YGTSS積分值、中醫(yī)癥候方面均有顯著差異。2.參天止動(dòng)湯無(wú)毒副作用,安全可靠,進(jìn)一步證實(shí)中醫(yī)藥治療小兒多發(fā)性抽動(dòng)癥的特色和優(yōu)勢(shì)。
[Abstract]:Objective: to detect the towering stopper and the side effect of spleen deficiency and liver hyperactivity in children with tic Decoction multiple treatment effect. Methods: the samples from 60 children with Tourette's disease who were in accordance with the inclusion criteria were randomly divided into two groups: the treatment group and the control group, 30 cases in each group. In the treatment group, the children were given oral anti motion soup, the control group was given Tiapride Hydrochloride Tablets, and the parents of the two groups were educated and instructing the condition. After 8 weeks of treatment, the two groups were compared for the comprehensive efficacy evaluation, including the total efficacy, the improvement of Yale tic scale, the improvement of exercise and vocal tics, and the improvement of TCM symptoms. After 2 months of follow-up, side effects were observed. Results: after 8 weeks after treatment in the treatment group, with the total effective rate was 96.67%, the total efficiency of the control group was 86.67%, there was significant difference between the total effect of the two groups (P0.05), shows that the total efficiency of the treatment group was significantly higher than the control group; and the TCM syndrome total effective rate of treatment group was 100%, control group 63.33%, P0.05, the treatment group was significantly better than the control group. The two groups before and after medication were compared within groups, differences in the two aspects of integral YGTSS and TCM symptoms were statistically significant (P0.05), the treatment is effective; two groups were compared after treatment, the treatment group and the control group in the above two aspects of the differences were statistically significant (P0.05), showed that the curative effect of treatment group was better than the control group. There were no adverse events in the treatment group, and there were 2 cases in the control group. Conclusion: 1.. The application of "Tian Zhi Zhi Tang" in treating children with Tourette syndrome, spleen deficiency and liver hyperactivity is better than western medicine Tiapride Hydrochloride Tablets, and has significant difference in reducing YGTSS integral value and TCM symptoms. 2. Shen Zhi Zhi Tang has no toxic and side effects, and it is safe and reliable. It further confirms the characteristics and advantages of Chinese medicine in the treatment of children with multiple Tourette syndrome.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R277.7

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