养血熄风法从“血”论治儿童抽动障碍临床疗效观察

Clinical effect of the treatment for children with tic disorder based on "blood" by nourishing blood and eliminating wind

目的观察养血熄风法从"血"论治儿童抽动障碍的临床疗效。方法选择2013年1月至2016年1月南阳市第一人民医院收治的儿童抽动障碍患儿82例,其中短暂性抽动38例,慢性抽动29例,多发性抽动15例。脑电图检查结果异常27例,其中慢性抽动者11例,多发性抽动者7例,短暂性抽动者9例;轻度非特异性异常16例,中度异常11例。采用以养血熄风法为基础治则,自拟天麻钩藤饮为基础方加减辨证,以1个月为1个疗程,共观察2个疗程,观察临床疗效及脑电图改善情况。结果显效56例,有效21例,无效5例,总有效率为93.9%(77/82);27例异常脑电图中共有13例恢复正常,其中7例脑电图由中度异常转变为轻度异常,7例脑电图改善不明显。结论采用养血熄风法为基本治则从"血"论治小儿抽动症疗效显著,且可促进脑细胞恢复,明显改善异常的脑电生理活动,值得进一步研究及推广。

ObjectiveTo observe the clinical effect of the treatment for children with tic disorders based on ＂blood＂ by nourishing blood and eliminating wind.Methods A total of 82 children with tic disorders were treated in Nanyang First People＇s Hospital from Jan. 2013 to Jan. 2016, and were included as the research subjects, among whom there were 38 cases of transient tic, 29 cases of chronic tic, and 15 cases of multiple tic. The electroencephalography（EEG） showed abnormal results in 27 cases, of which there were 11 cases of chronic tic, 7 cases of multiple tic and 9 cases of transient tic; among the 27 cases, 16 were with mild nonspecific abnormality, and 11 with moderate abnormality. Based on the treatment principle of nourishing blood and eliminating wind, the prescription of modified Tianma Gouteng Yin was made. The treatment lasted for two courses of treatment, one month as a course. The clinical effect and EEG improvement were observed.Results The treatment was obviously effective in 56 cases, effective in 21 cases and in effective in 5 cases, the total effective rate being 93.9%（77/82）. Among the 27 cases of abnormal EEG, 13 returned to normal, of which 7 changed from moderate abnormality to mild abnormality. The improvement was not significant in 7 cases.Conclusion According to the principle of nourishing blood and eliminating wind, the treatment based on ＂blood＂ has significant effect on children with tic disorders; it can promote the recovery of brain cells and significantly improve the electrophysiological activities of the brain, which is worth further studies and promotion.