可乐定透皮贴剂联合维生素D3滴剂治疗儿童抽动障碍的疗效及对血清25羟维生素D水平的影响

The clinical efficacy and serum 25 hydroxy vitamin D levels of clonidine transdermal patch combined with vitamin D3 drops in the treatment of tic disorder in children

目的探讨可乐定透皮贴剂联合维生素D3滴剂治疗儿童抽动障碍的临床疗效及对血清25羟维生素D水平的影响。方法选取2020年1月至2022年1月份在长江大学附属第一医院儿童神经专科门诊就诊的抽动障碍患儿115例,随机分为可乐定透皮贴剂+维生素D3滴剂组43例、可乐定透皮贴剂组41例和维生素D3滴剂组31例。治疗前和治疗后4、12周比较3组耶鲁综合抽动严重程度量表(YGTSS)评分、血清1-25羟维生素D水平,判断疗效和安全性。结果与治疗前比较,治疗后4、12周三组均较治疗前YGTSS评分降低(P<0.05)。治疗后4周,可乐定透皮贴剂+维生素D3滴剂组较可乐定透皮贴剂、维生素D3滴剂组YGTSS评分低(P<0.05);治疗后12周,可乐定透皮贴剂+维生素D3滴剂组YGTSS评分较其余两组低(P<0.05)。治疗12周后可乐定透皮贴剂+维生素D3滴剂组、维生素D3滴剂组血清25羟维生素D水平均较治疗前升高(P<0.05)。结论可乐定透皮贴剂+维生素D3滴剂组治疗儿童抽动障碍疗效显著,维生素D3治疗有一定的临床疗效。

Objective The study was designed to investigate the clinical efficacy of clonidine transdermal patch combined with vitamin D3 drops in the treatment of tic disorder in children and to analyze the relationship between the serum 25 hydroxy vitamin D level and its clinical efficacy.Methods A total of one hundred and fifteen children with tic disorders who attended our pediatric neurology outpatient department from January 2020 to June 2022 were randomly divided into three groups:45 cases in the clonidine transdermal patch+vitamin D3 drops group,45 cases in the clonidine transdermal patch group,and 30 cases in the vitamin D3 drops group.Comparison of Yale General Tic Severity Scale(YGTSS)score and serum 1-25 hydroxy vitamin D levels between the three groups of 0,4 and 12 weeks after treatment were made to determine efficacy and safety.Results Compared with pre-treatment,YGTSS scores were lower in all three groups at 4 and 12 weeks of treatment compared with pretreatment(P<0.05).At 4 weeks after treatment,YGTSS scores were reduced in the clonidine transdermal patch+vitamin D3 drops group and clonidine transdermal patch compared with the vitamin D3 drops group(P<0.05).At 12 weeks after treatment,YGTSS scores were lower in the clonidine transdermal patch+vitamin D3 drops group compared with the other two groups(P<0.05).Serum 25 hydroxyvitamin D levels were higher in all three groups after 12 weeks of treatment compared with those before treatment(P<0.05).Conclusion Clonidine transdermal patch+vitamin D3 dr ops group was more effective than other 2 groups in treating tic disorder in children,and vitamine D may be helpful in the treatment of Tic disorder.