清心平肝法针刺配合捏脊疗法治疗小儿多发性抽动症临床研究

Clinical Study on Acupuncture with Qingxin Pinggan Method Combined with Spine Pinching Therapy for Children Multiple Tics

目的:观察清心平肝法针刺配合捏脊疗法治疗小儿多发性抽动症的临床疗效。方法:选取多发性抽动症患儿90例,采用随机数字表法分为观察组和对照组各45例。对照组给予捏脊疗法治疗,观察组在对照组的基础上给予清心平肝法针刺治疗。比较2组临床疗效、临床症状积分及耶鲁综合抽动严重程度量表(YGTSS)评分。结果:观察组总有效率为93.33%,对照组为73.33%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组症状(运动性抽动、发声性抽动、面红易怒、心烦气急)积分比较,差异无统计学意义(P>0.05)。治疗后,2组症状积分较治疗前降低,且观察组症状积分显著低于对照组,差异有统计学意义(P<0.05)。治疗前,2组YGTSS (运动性抽动、发声性抽动、抽动频率、抽动强度、抽动次数)评分比较,差异无统计学意义(P>0.05)。治疗后,2组YGTSS评分较治疗前降低,且观察组YGTSS评分显著低于对照组,差异有统计学意义(P<0.05)。结论:清心平肝法针刺配合捏脊疗法治疗小儿多发性抽动症可显著提高临床疗效,改善患儿临床症状,降低YGTSS评分。

Objective:To observe the clinical effect of acupuncture with Qingxin Pinggan method combined with spine pinching therapy for children multiple tics. Methods: A total of 90 cases of children with multiple tics were selected and divided into the observation group and the control group according to the random number table method,45 cases in each group. The control group was given spine pinching therapy, and the observation group was additionally treated with acupuncture with Qingxin Pinggan method based on the treatment of the control group. Clinical effect,as well as scores of clinical symptoms and the Yale Global Tic Severity Scale(YGTSS) was compared between the two groups. Results:The total effective rate was 93.33% in the observation group and 73.33% in the control group, the difference being significant(P<0.05). Before treatment, when compared symptoms scores(motor tic, verbal tic, reddened complexion and irritability,vexation and shortness of breath) between the two groups, there was no significance in the difference(P>0.05). After treatment,the symptoms scores in the two groups were decreased when compared with those before treatment,and the scores in the observation group were significantly lower than those in the control group,the difference being significant(P<0.05). Before treatment, when compared YGTSS scores(motor tic, verbal tic, tic frequency, tic intensity, tic number)between the two groups,there was no significance in the difference(P>0.05). After treatment,the YGTSS scores in the two groups were decreased when compared with those before treatment, and the scores in the observation group were significantly lower than those in the control group, the difference being significant(P<0.05). Conclusion: The therapy of acupuncture with Qingxin Pinggan method combined with spine pinching therapy can significantly enhance clinical effect in the treatment of children multiple tics. It can improve clinical symptoms and decrease YGTSS scores.