滋肾调肝法治疗注意缺陷多动障碍共患抽动障碍46例临床观察

Clinical effect observation of the treatment of nourishing kidney and accommodating liver treating 46 attention deficit hyperactivity disorder accompanying tic disorder

目的:观察滋肾调肝方治疗注意缺陷多动障碍(ADHD)共患抽动障碍(TD)的临床疗效。方法:将66例ADHD共患TD患儿随机分为试验组和对照组进行治疗,试验组服用滋肾调肝方,对照组服用静灵口服液,2组均治疗12周。通过对治疗前后ADHD观察表和耶鲁综合抽动严重程度量表中核心症状项目的减分率来评价疗效。结果:试验组总有效率为87.0%,对照组总有效率为80.0%,2组总有效率比较,差异无统计意义(P>0.05)。2组抽动疗效比较,试验组总有效率为91.3%,对照组总有效率为80.0%,2组间差异有统计意义(P<0.05)。2组注意缺陷、多动、冲动疗效比较,差异无统计意义(P>0.05)。结论:滋肾调肝方治疗ADHD共患TD具有确切的疗效,且在改善抽动症状方面优于静灵口服液。

Objective： To observe the clinical effect of the treatment of nourishing kidney and accommodating liver treating attention deficit hyperactivity disorder（ADHD） accompanying tic disorder（TD）.Methods： 66 cases of ADHD accompanying TD were randomly divided into two groups,the experimental group taking the herb of nourishing kidney and accommodating liver and the control group taking Jingling oral liquid.Then the scores of the questionnaires were noted and the outcome of the examinations before and after treating was observed.Results： The general curative effect between the two groups was similar（P〉0.05）,with the experimental group 87.0% and the control group 80.0%.The curative effect of tic was significantly different between the two groups（P〈0.05）,with the experimental group 91.3% and the control group 80.0%.But the curative effect of other core symptoms between the two groups were similar（P〉0.05）.Conclusion： The herb of nourishing kidney and accommodating liver can improve exactly the core symptoms of ADHD accompanying TD.The herb of nourishing kidney and accommodating liver is better in obviously improving the symptom of tic than Jingling oral liquid.