针刺联合穴位贴敷治疗小儿抽动症的临床效果

Clinical Effect of Acupuncture Combined with Acupoint Plastering in the Treatment of Pediatric Tourette's Syndrome

目的:分析针刺联合穴位贴敷治疗小儿抽动症的效果。方法:选取2020年6月—2023年5月临沂市妇幼保健院诊治的小儿抽动症患儿76例为研究对象,按照随机数字表分为对照组和研究组,各38例。对照组采取氟哌啶醇口服治疗,研究组在对照组基础上实施针刺联合穴位贴敷治疗。比较两组中医症状积分、耶鲁综合抽动严重程度量表评分、症状缓解时间、不良反应。结果:治疗后,两组目赤、多梦、大便稀溏、情绪、食欲症状积分低于治疗前,研究组低于对照组,差异有统计学意义(P<0.05);两组抽动频率、次数、强度评分低于治疗前,研究组低于对照组,差异有统计学意义(P<0.05);研究组症状缓解时间短于对照组,差异有统计学意义(P=0.001);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:在氟哌啶醇基础上,针刺联合穴位贴敷治疗小儿抽动症的效果更佳,可改善临床症状,缩短症状缓解时间,安全性好。

Objective:To analyze the effect of acupuncture combined with acupoint plastering in the treatment of pediatric Tourette's syndrome.Methods:Seventy-six cases of pediatric Tourette's syndrome diagnosed and treated in Linyi Maternal and Child Health Hospital from June 2020 to May 2023 were selected as the study subjects,and were divided into the control group and the study group according to the randomized numerical table,with thirty-eight cases in each group.The control group was treated with haloperidol orally,and the study group was treated with acupuncture combined with acupoint plastering on the basis of the control group.The TCM symptom score,Yale Comprehensive Tic Severity Scale score,symptom relief time and adverse reactions of the two groups were compared.Results:After treatment,the symptom scores of ocular redness,excessive dreaming,loose stools,mood and appetite were lower than those before treatment in the two groups,and the study group was lower than the control group,and the difference was statistically significant(P<0.05);the frequency,number and intensity of tics scores of the two groups were lower than before treatment,and the study group was lower than the control group,and the difference was statistically significant(P<0.05);the symptom relief time of the study group was shorter than that of the control group,and the difference was statistically significant(P=0.001);there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:On the basis of haloperidol,acupuncture combined with acupoint plastering is more effective in the treatment of pediatric Tourette's syndrome,which can improve the clinical symptoms,shorten the time of symptomatic relief,and has good safety.