耳穴刺络放血联合耳穴磁疗治疗小儿多发性抽动症脾虚肝亢证28例临床观察

Clinical observation on 28 cases of Tourette syndrome in children with spleen deficiency and liver hyperactivity syndrome treated by auricular point bloodletting puncturing combined with auricular point magnetic therapy

目的观察耳穴刺络放血联合耳穴磁疗治疗小儿多发性抽动症脾虚肝亢证的临床疗效。方法选取2018年1—12月在温州市中医院中医特色护理门诊就诊的多发性抽动症脾虚肝亢证患儿60例,采用随机数字表法分为治疗组和对照组,各30例。对照组给予中药方剂疏肝理脾汤加减,治疗组在对照组治疗方法的基础上采用耳穴刺络放血联合耳穴磁疗,2组均治疗4周为1个疗程,2个疗程后观察疗效。结果治疗组总有效率为92.9%(26/28),对照组为75.9%(22/29),2组比较,差异有统计学意义(P<0.05)。治疗前,2组耶鲁综合抽动严重程度量表(YGTSS)积分比较,差异无统计学意义(P>0.05),具有可比性。治疗后,2组YGTSS积分较同组治疗前明显下降(P<0.05),且治疗组下降更显著(P<0.05)。结论运用耳穴刺络放血联合耳穴磁疗治疗小儿多发性抽动症脾虚肝亢证,可有效改善患儿临床症状,降低YGTSS评分,值得临床推广应用。

Objective To observe the clinical efficacy of auricular point bloodletting puncturing combined with auricular point magnetic therapy in the treatment of Tourette syndrome(TS) in children with spleen deficiency and liver hyperactivity syndrome.Methods From January to December in 2018,60 cases of TS in children with spleen deficiency and liver hyperactivity syndrome consulted in TCM Characteristic Nursing Outpatient Service of Wenzhou Municipal Hospital of TCM were chosen and divided into treatment group and control group, with 30 cases in each.The control group was given Chinese materia medica(CMM) prescription modified Shugan Lipi Tang(疏肝理脾汤),on this basis, the treatment group was given auricular point bloodletting puncturing combined with auricular point magnetic therapy.The 2 groups were both treated for 4 weeks as 1 course of treatment,and the curative efficacy was observed after 2 courses of treatment.Results The total effective rate of the treatment group was 92.9%(26/28),that of the control group was 75.9%(22/29),and the difference was statistically significant between the 2 groups(P<0.05).Before treatment,the difference was not statistically significant in Yale Global Tic Severity Scale(YGTSS) scores between the 2 groups(P>0.05),and they were comparable. After treatment,YGTSS scores of the 2 groups significantly decreased compared with those of the same group before treatment(P<0.05),moreover,the treatment group decreased more significantly(P<0.05).Conclusion It can effectively improve the clinical symptoms of the children patients,decrease YGTSS scores,achieving the efficacy of invigorating spleen and calming liver,promoting qi flow to activate blood,and balancing yin and yang to use auricular point bloodletting puncturing combined with auricular point magnetic therapy in the treatment of TS in children with spleen deficiency and liver hyperactivity syndrome,which is worthy of clinical promotion and application.