本文關鍵詞： 多發(fā)性抽動癥 靜息方 臨床觀察　出處：《西南醫(yī)科大學》2017年碩士論文　論文類型：學位論文

【摘要】：目的:觀察靜息方治療多發(fā)性抽動癥的臨床療效,評估該方治療多發(fā)性抽動癥的有效性及臨床應用價值。方法:搜集2015年1月至2017年1月就診于西南醫(yī)科大學附屬中醫(yī)醫(yī)院兒科的60例多發(fā)性抽動癥患兒,采用隨機對照的方法,將60例患兒分為中藥組和西藥組,每組各30例。中藥組以靜息方為組方辨證加減治療,西藥組口服氟哌啶醇治療�？傊委煰煶虨�10周。治療前后根據(jù)耶魯綜合抽動嚴重程度量表對患兒進行評分,觀察中藥組及西藥組的減分情況,對兩組的療效進行評估。結果:靜息方的治療效果與西藥組相似,但靜息方臨床副作用少于西藥組。中藥組有2例患兒出現(xiàn)腹瀉癥狀,給予調整用藥后癥狀消失。西藥組有5例患兒出現(xiàn)惡心、嘔吐,2例患兒出現(xiàn)失眠、頭痛癥狀。中藥組總有效率為90.0%,治愈2例,顯效5例,好轉20例,無效3例;西藥組有效率為93.3%,其中治愈4例,顯效6例,好轉18例,無效2例。兩組間治療療效無顯著差異,經治療后兩組臨床癥狀均得到改善。結論:通過本研究發(fā)現(xiàn),中藥靜息方與西藥氟哌啶醇相比,靜息方能有效改善多發(fā)性抽動癥患兒的癥狀,副作用少,安全有效。
[Abstract]:Objective: to observe the clinical effect of resting prescription in the treatment of multiple tic syndrome. Methods: from January 2015 to January 2017, 60 children with multiple tic syndrome in pediatrics department of affiliated Hospital of traditional Chinese Medicine of Southwest Medical University were collected and randomly controlled. 60 cases of children were divided into Chinese medicine group and western medicine group, 30 cases in each group. The western medicine group was treated with haloperidol orally. The total course of treatment was 10 weeks. The children were graded according to the Yale comprehensive severity scale before and after treatment, and the scores of the traditional Chinese medicine group and the western medicine group were observed. Results: the curative effect of the two groups was similar to that of the western medicine group, but the clinical side effect of the rest prescription was less than that of the western medicine group. In the western medicine group, there were 5 cases of nausea, 2 cases of vomiting and 2 cases of insomnia and headache. The total effective rate of the Chinese medicine group was 90.0%, 2 cases were cured, 5 cases were obviously effective, 20 cases were improved, 3 cases were ineffective. The effective rate of the western medicine group was 93.3g, of which 4 cases were cured, 6 cases were markedly effective, 18 cases were improved and 2 cases were ineffective. There was no significant difference in the curative effect between the two groups, and the clinical symptoms of the two groups were improved after treatment. Compared with the western medicine haloperidol, the resting prescription can effectively improve the symptoms of children with multiple tic syndrome, less side effects, safe and effective.
【學位授予單位】：西南醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R277.7

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