局部针刺治疗抽动障碍疗效观察

Observation on therapeutic effect of tic disorders treated with local acupuncture

目的:观察以局部针刺治疗运动抽动为主的抽动障碍(TD)的临床疗效。方法:194例患者随机分为针刺组(114例)、西药组(82例)。针刺组以局部针刺治疗,西药组口服硫必利片。采用耶鲁抽动障碍整体严重程度量表(YGTSS)进行评分,判定其临床疗效。结果:两组患者治疗后YGTSS运动抽动评分明显改善;针刺组与西药组显效率分别为90.4%和84.2%(P>0.05),差异无统计学意义;针刺组与西药组治疗短暂性抽动(TTD)的有效率分别为100.0%、83.3%(P<0.05),针刺治疗TTD的疗效优于药物治疗;针刺组3种不同类型的TD疗效分别为100.0%、88.2%、84.2%,针刺治疗TTD疗效优于慢性多发性抽动(CTD)及抽动综合征(TS)(均P<0.05)。结论:针刺与药物治疗TD的总体疗效相当,但针刺治疗TTD的临床疗效优于药物治疗,针刺治疗TTD的疗效也优于针刺治疗CTD及TS的疗效,说明及早干预治疗效果理想,有可能防止病情发展为CTD或TS。

Objective To observe the clinical efficacy on tic disorders （TD） treated with local acupuncture. Methods The entire data of 196 cases, of which, 114 cases in acupuncture group were treated mainly with local acupuncture and 82 cases in western medication group were taken Tiapride tablets orally. YGTSS method was adopted for scoring and assessing the clinical efficacy. Results The apparent improvement was achieved in YGTSS motor tic score in two groups. The markedly effective rates were 90. 4% and 84.2%in acupuncture group and western medication group, respectively （P〈0.05）, without significant difference in statistics. The effective rates of transient tic disorder （TTD） in acupuncture group and western medication group were 100.0~ and 83.3%, respectively （P〈~0. 05）, which indicated that the efficacy of acupuncture on TTD was advantageous to medical therapy. The effective rates of three kinds of TD in acupuncture group were 100.0%, 88. 2% and 84.2% separately, of which, the efficacy of acupuncture on TTD was advantageous as compared with that on cbro-nic tic disorder （CTD） and Toureett＇s syndrome （TS） （P〈0. 05）. Conclusion The overall efficacy on TD is similar between acupuncture and medical therapy, but the clinical efficacy of acupuncture on TTD is superior to medical therapy. Meanwhile, the efficacy of acupuncture on TTD is advantageous to that on CTD and TS. Hence, the intervention at early time can achieve satisfactory efficacy and probably prevent from CTD or TS.