165例抽动障碍证候分布规律与病机探讨

Distribution Rule of Tic Disorder Syndromes and Discussion of the Pathogenesis: 165 cases

目的:探讨抽动障碍常见证候分布规律及其病机。方法:分析165例抽动障碍患者的临床资料,对年龄、性别、类型、相关因素、病性证素、病位证素、证候等进行统计学分析。结果:相关因素中易急躁者占76.36%,嗜肉者占45.45%,看电视、电脑频繁者占33.33%,剖宫产者占32.12%,家庭环境严格者占29.09%,易感冒者占19.39%;病性证素中热(火)136例(82.42%),瘀132例(80.00%),阴亏57例(34.55%),风26例(15.76%),痰25例(15.15%);病位证素中肝38%,神29%,心24%,上焦5%,阳明4%;证候分布中瘀热证90例(54.55%),阴虚血瘀证21例(12.73%),痰热瘀阻证13例(7.88%)。结论:瘀热内蕴、阴虚血瘀、痰热瘀阻为抽动障碍常见证候;其病在厥阴,肝风内动,形神不宁是主要病机。

Objective： To explore the distribution rule of common syndromes of tic disorder as well as its pathogenesis. Methods ： We analyzed a total of 165 tic disorder cases by conducting statistical analysis on patients＇ age, gender, disease type, related fac- tors, nature of disease, disease location and syndrome. Results： The relative factors showed that the easily irritable accounted for 76.36%, the frequent intake of meat accounted for 45.45%, the frequent watching TV and computer accounted for 33.33%, the cesarean section was 32.12% , the strict family environment accounted for 29.09%, the easy catching cold accounted for 19. 39% ; as to nature of disease, the hot （fire） accounted for 136 cases （82.42%）, stagnation 132 cases （80%）, yin deficiency 57 cases （34.55%）, wind 26 cases （ 15.76% ）, phlegm, 25 cases （ 15.15% ） ; as to disease location, liver accounted for 38%, the God 29%, heart 24%, upper energizer 5% , Yang-Ming 4% ; as to syndrome, syndrome of stagnation heat accounted for 90 cases （54.55%）, yin deficiency and blood stasis syndrome 21 eases （ 12.73% ）, phlegm heat and blood stasis syndrome 13 cases （7.88%）. Conclusion： Internal heat stagnation, yin deficiency and blood stasis, phlegm-heat stasis were common syndromes of tic disorders. The disease was in the reverting yin, and internal stirring of liver wind, restlessness of spirit were the main pathogen- esis.