近10年中医药治疗儿童注意力缺陷多动障碍文献研究

Biliometric Analysis on TCM Therapy for ADHD in Recent Ten Years

目的探讨近10年国内中医药治疗儿童注意力缺陷多动障碍(ADHD)研究现状,为临床工作者提供参考。方法计算机检索2005年1月1日-2015年4月1日中国知识资源总库(CNKI)、中文科技期刊数据库(VIP)、中国生物医学文献服务系统(Sino Med)中有关中医药治疗儿童ADHD临床研究文献,从发表时间、诊断标准、中医药疗法及其特点等方面进行分析。结果剔除重复文献,检出文献670篇。根据纳入排除标准筛选后,最终纳入文献148篇。148篇文献中诊断标准以第四版《诊断与统计手册:精神障碍》和第三版《中国精神疾病分类与诊断》为主;中医治疗本病以内治法为主,剂型多为汤剂,证型以肝肾阴虚证和心肝火旺证为主,常用中药有石菖蒲、熟地黄等19味,中成药中小儿智力糖浆应用最为广泛;外治法中针灸和耳穴贴压效果显著,内外结合疗效最佳。结论中医药治疗儿童ADHD方法较多,以内治法为主,内外结合效果最佳。

Objective To discuss the research status of TCM therapy for ADHD in China in recent ten years; To provide references for clinical workers. Methods Clinical research papers about TCM therapy for ADHD in CNKI, VIP, and CBM from 1st January 2005 to 1st April 2015 were retrieved. Metrology analysis was conducted from the aspects of publication time, diagnostic criteria, contrasted medicine, and types and features of TCM therapy. Results By eliminating duplication literature, 670 papers were screened out. After the screening of exclusion criteria, 148 papers were included. DSM-Ⅳ and CCMD-3 were the most commonly used diagnostic criteria in the 148 papers; internal therapy was the main therapy in TCM therapy; decoction was the main dosage form; liver-kidney yin deficiency syndrome and heart-liver fire syndrome were the main patterns of syndrome; Acori Tatarinowii Rhizoma, Rehmanniae Radix Praeparata and other 19 Chinese medicinal herbs were the main Chinese mateia medica; Xiaoer Zhili Syrup was the most commonly used Chinese patent medicine; acupuncture and moxibustion and auricular point therapy were the main external therapy, and external combined with internal therapy had the best efficacy. Conclusion TCM therapy for ADHD is with high effectiveness. External combined with internal therapy has the best efficacy.