脏腑图点穴结合针药治疗脾虚肝旺型小儿多发性抽动症临床疗效观察

Clinical observation on children with multiple tourette syndrome with spleen-deficiancy and liver-flourish type treated by viscera point massage therapy combined with acupuncture and Chinese medicines

目的:观察脏腑图点穴结合针药治疗小儿多发性抽动症的临床疗效及安全性。方法:选取江西中医药大学附属医院儿科2017年9月至2019年8月门诊及住院部的多发性抽动症(脾虚肝旺型)患儿60例,随机分为治疗组和对照组各30例。对照组予盐酸硫必利片加疏肝健脾方加减治疗,治疗组在疏肝健脾方的基础上联合脏腑图点穴手法加针刺治疗,比较两组的临床疗效、治疗前后耶鲁综合抽动严重程度量表(YGTSS)评分及中医证候积分改善情况。结果:两组治疗28d后,YGTSS评分及中医主症及次症积分均显著下降(P<0.01)。治疗14d治疗组总有效率与对照组相当,治疗28d治疗组总有效率显著优于对照组(P<0.05)。两组观察中未见明显不良反应。结论:脏腑图点穴手法结合针刺、中药治疗小儿多发性抽动症临床疗效可靠、安全性高,尤其在后续长程治疗过程中彰显优势,值得临床推广应用。

Objective: To observe the clinical efficacy and safety of viscera point massage therapy combined with acupuncture and chinese medicines in children with multiple tourette disease. Methods: A total of 60 children with multiple tourette disease(spleen-deficiency and liver-flourish type) were randomly divided into a treatment group and a control group from September 2017 to August 2019 in Department of Pediatrics, Affiliated Hospital of Jiangxi University of Traditional Chinese Department Medicine. The control group was treated with Sulpiride Tablets and Shugan Jianpi Prescription. On the basis of Shugan Jianpi Prescription, the treatment group was treated combined with viscera point massage therapy and acupuncture treatment. The clinical efficacy, Yale Comprehensive Twitch Severity Scale(YGTSS) score before and after treatment and the improvement of TCM syndrome scores of the two groups were compared. Results: After treatment for 28 days, YGTSS scores and scores of major and minor symptoms of TCM were decreased significantly in both groups(P<0.01). The total efficacy of the 14 d treatment group was similar to that of the control group, and the 28 d treatment group was significantly better than the control group(P<0.05). No obvious adverse reactions were observed in the two groups. Conclusion: Viscera point massage combined with acupuncture and Chinese medicine, in the treatment of children with multiple tourette syndrome has reliable clinical efficacy and high safety, especially in the subsequent long-term treatment process to highlight its advantages, which is worthy of clinical promotion and application.