中药联合耳穴贴压治疗以慢性咳嗽为主症的儿童多发性抽动症

Treatment of children Tourette's syndrome with chronic cough by traditional Chinese medicine combined with auricular point pressing

目的探讨以慢性咳嗽为主症的儿童多发性抽动症的临床特点及治疗现状,初步评价中药联合耳穴贴压治疗以慢性咳嗽为主症的儿童多发性抽动症的治疗效果。方法收集以慢性咳嗽为主症的多发性抽动症患儿30例,分析临床特点及治疗情况,并给予口服中药配合耳穴贴压,治疗4周,观察咳嗽症状积分和VAS评分,评价疗效。结果男女发病比例3. 3∶1,年龄(9. 1±1. 2)岁,以清嗓样咳为主(76. 7%),日间咳多于夜间咳,干咳多于湿咳;患儿多曾诊断为CVA、UACS、咽炎等,给予抗生素、支气管扩张剂、激素雾化吸入、抗过敏等治疗;患儿咳嗽症状总积分、日间咳嗽积分和夜间咳嗽积分和VAS评分治疗后较治疗前下降(P <0. 001),慢性咳嗽总有效率86. 7%。结论多发性抽动症是引起儿童慢性咳嗽的原因之一,目前临床治疗欠规范,中药逍遥散加味联合耳穴贴压对治疗以慢性咳嗽为主症的儿童多发性抽动症具有较好的临床疗效。

Objective To explore the clinical characteristics and treatment status of TS in children with chronic cough,and evaluate the therapeutic effect of traditional Chinese medicine combined with auricular point pressing.Methods30patients of TS with chronic cough were collected.The clinical characteristics and medical history were analyzed.The patients were treated with Chinese herbs combined with auricular point pressing for4weeks,then the cough symptom score and VAS score were observed,and the curative effect was evaluated.Results The morbidity proportion between male and female was3.3:1;the age was9.1±1.2years.Cough combined with throat clearing was predominated(76.7%),cough in daytime was more often than that in night,dry cough was more often than wet cough.Many of the children had been diagnosed as CVA,UACS,pharyngitis and so on.They were treated with antibiotics,bronchodilators,hormone inhalation,anti-allergic drugs and so on.The total score of cough symptom,daytime cough score,nighttime cough score and VAS were all reduced significantly after treatment(P<0.001),and the total effective rate of chronic cough was86.7%.Conclusion Tourette syndrome is one of the causes of chronic cough in children.At present,the clinical treatment has not been standardized.The combination therapy of modified Xiaoyao Powder and auricular point pressing has a good clinical effect in the treatment of TS in children with chronic cough.