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Effect of Huqian Wan on liver-Yin and kidney-Yin deficiency patterns in patients with knee osteoarthritis 被引量:8
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作者 Chen Qiqing Jin Hongting +3 位作者 He Bin Wang Liang Xiao Luwei Tong Peijian 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2015年第4期417-421,共5页
OBJECTIVE: To observe the curative effect of Huqian Wan on liver and kidney-Yin deficiency knee osteoarthritis(KOA).METHODS: One hundred patients were randomly divided into a treatment(50 patients) and control group(5... OBJECTIVE: To observe the curative effect of Huqian Wan on liver and kidney-Yin deficiency knee osteoarthritis(KOA).METHODS: One hundred patients were randomly divided into a treatment(50 patients) and control group(50 patients). In the treatment group, patients orally took the Chinese medicine Huqian Wan. Control group patients orally took Votalin, 75 mg, once a day, for 8 weeks. The visual analog scale(VAS), Western Ontario and Mc Master University Osteoarthritis Index(WOMAC), and Medical Outcomes Study Short Form 36-Item Health Survey(SF36) were used to evaluate the curative effect before treatment and after 8 and 16 weeks of treatment.RESULTS: VAS and WOMAC scores significantly decreased and SF 36 scores significantly increased after treatment in both groups compared with before treatment(P < 0.05). There were significant differences in VAS, WOMAC, and SF 36 score changes between the two groups at week 16(P < 0.05).There was a significant increase in VAS and WOMAC scores in the control groups(P < 0.05) between weeks 8 and 16, but no significant difference was found in the treatment group(P > 0.05).CONCLUSION: Huqian Wan could effectively improve the clinical symptoms and quality of life in patients with KOA. It could also have a better and longer lasting curative effect without obvious adverse events compared with Votalin. 展开更多
关键词 OSTEOARTHRITIS Knee liver kidney yin deficiency Treatment outcome Huqian Wan
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调神益智汤联合盐酸哌甲酯对注意缺陷多动障碍患儿的疗效
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作者 冯士梅 郭会敏 纪伦伦 《河南医学研究》 CAS 2024年第20期3785-3788,共4页
目的 探究调神益智汤联合盐酸哌甲酯对注意缺陷多动障碍(肝肾阴虚证)患儿的疗效。方法 选取2021年11月至2022年12月于许昌市中心医院就诊的68例注意缺陷多动障碍(肝肾阴虚证)患儿作为观察对象,随机分为观察组和对照组,各34例。对照组接... 目的 探究调神益智汤联合盐酸哌甲酯对注意缺陷多动障碍(肝肾阴虚证)患儿的疗效。方法 选取2021年11月至2022年12月于许昌市中心医院就诊的68例注意缺陷多动障碍(肝肾阴虚证)患儿作为观察对象,随机分为观察组和对照组,各34例。对照组接受盐酸哌甲酯治疗,观察组在对照组基础上加服调神益智汤。记录两组治疗3个月后临床疗效。比较两组中医证候积分、多动症状[多动障碍筛查量表(SNAP-Ⅳ)]、注意力控制[视听整合测试表(IVA-CPT)]、血清学指标[促肾上腺皮质激素(ACTH)、皮质醇(Cor)]的变化。结果 观察组治疗有效率高于对照组(P<0.05)。治疗3个月后,两组中医证候积分、SNAP-Ⅳ评分降低,且观察组低于对照组(P<0.05);两组IVA-CPT评分、血清ACTH水平升高,且观察组高于对照组(P<0.05)。结论 调神益智汤联合盐酸哌甲酯对于注意缺陷多动障碍患儿疗效确切,能有效提高患儿注意力控制能力,缓解多动症状,对于患儿康复有利。 展开更多
关键词 注意缺陷多动障碍 调神益智汤 盐酸哌甲酯 肝肾阴虚证
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小儿黄龙颗粒联合盐酸托莫西汀治疗注意缺陷多动障碍的临床疗效观察 被引量:18
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作者 杨萌 孙继超 +1 位作者 韩新民 尹东奇 《世界中西医结合杂志》 2019年第1期82-85,共4页
目的观察小儿黄龙颗粒联合盐酸托莫西汀治疗注意缺陷多动障碍(ADHD)的临床疗效。方法选取2015年10月至2016年9月期间诊断为ADHD,中医证属肝肾阴虚证的72例患儿,按照随机数字表法分为对照组和治疗组各36例。对照组单纯使用盐酸托莫西汀... 目的观察小儿黄龙颗粒联合盐酸托莫西汀治疗注意缺陷多动障碍(ADHD)的临床疗效。方法选取2015年10月至2016年9月期间诊断为ADHD,中医证属肝肾阴虚证的72例患儿,按照随机数字表法分为对照组和治疗组各36例。对照组单纯使用盐酸托莫西汀进行治疗,治疗组采用小儿黄龙颗粒和盐酸托莫西汀联合治疗。观察两组患儿治疗后临床疗效及Conners评分、SNAP-4量表评分情况。结果治疗8周后,对照组总有效率为69. 44%,治疗组为75. 00%,两组比较差异无统计学意义(P> 0. 05)。两组患儿Conners评分比较,治疗4周后,治疗组在冲动-多动及多动指数的评分与对照组有明显差异(P <0. 05);治疗8周后,治疗组在心身障碍及多动指数的评分与对照组比较差异有统计学意义(P <0. 05)。治疗4周后,治疗组SNAP-4评分与对照组存在显著差异(P <0. 05),而治疗8周后两组间比较差异无统计学意义(P> 0. 05)。结论小儿黄龙颗粒联合盐酸托莫西汀治疗ADHD证属肝肾阴虚者,能缩短起效时间,提高疗效,值得临床推广。 展开更多
关键词 注意缺陷多动障碍 肝肾阴虚证 托莫西汀 小儿黄龙颗粒
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更美宁胶囊治疗更年期综合征的多中心临床研究 被引量:5
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作者 薛赛琴 张琼 +1 位作者 姜羡华 金哲 《中药新药与临床药理》 CAS CSCD 北大核心 2011年第1期117-120,共4页
目的评价更美宁胶囊治疗更年期综合征(肝肾阴虚、心肝火旺证)临床疗效和安全性。方法采用区组随机、双盲、阳性药平行对照、多中心临床研究方法,共观察病例231例,其中试验组116例,服用更美宁胶囊,对照组115例,服用更年宁心胶囊。结果对... 目的评价更美宁胶囊治疗更年期综合征(肝肾阴虚、心肝火旺证)临床疗效和安全性。方法采用区组随机、双盲、阳性药平行对照、多中心临床研究方法,共观察病例231例,其中试验组116例,服用更美宁胶囊,对照组115例,服用更年宁心胶囊。结果对更年期综合征的治疗,试验组总有效率为99.1%,愈显率为65.5%;对照组总有效率为94.8%,愈显率为44.3%,两组比较差异有显著性(P<0.05)。对肝肾阴虚、心肝火旺的中医证候疗效,试验组总有效率为99.1%,控显率为69.8%;对照组总有效率为94.8%,控显率为45.2%,两组比较差异有显著性(P<0.05)。结论更美宁胶囊治疗更年期综合征(肝肾阴虚、心肝火旺证)具有明显的临床疗效,且未发现明显的不良反应。 展开更多
关键词 更美宁胶囊 肝肾阴虚 心肝火旺 更年期综合征 中药疗法
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德尔菲法在注意力缺陷多动障碍肝肾阴虚证证候标准两轮问卷分析中的应用 被引量:2
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作者 陈美娟 陈自佳 +2 位作者 刘岩 尹英敏 王素梅 《中国中医药信息杂志》 CAS CSCD 2011年第4期4-6,共3页
目的应用德尔菲(Delphi)法对注意力缺陷多动障碍肝肾阴虚证证候指标进行筛选,以进一步制定注意力缺陷多动障碍中医诊疗指南。方法以文献研究为基础,确立注意力缺陷多动障碍肝肾阴虚证证候备选指标,建立问卷,采用Delphi法对40名专家进行... 目的应用德尔菲(Delphi)法对注意力缺陷多动障碍肝肾阴虚证证候指标进行筛选,以进一步制定注意力缺陷多动障碍中医诊疗指南。方法以文献研究为基础,确立注意力缺陷多动障碍肝肾阴虚证证候备选指标,建立问卷,采用Delphi法对40名专家进行两轮问卷调查,并对问卷结果进行分析。结果两轮问卷专家积极系数(回收率)分别为90%、100%;第1轮问卷中51个备选指标经调查后删除26个,余25个,并分别合并3个为1个、2个为1个,余22个;第2轮问卷中注意力不集中等13项指标的均数>1.5,不重要百分比<0.5,变异系数<0.4。结论 Delphi法筛选注意力缺陷多动障碍肝肾阴虚证证候评定量表指标具有实用价值,注意力不集中等13项指标可以作为注意力缺陷多动障碍肝肾阴虚证证候主证。 展开更多
关键词 注意力缺陷多动障碍 肝肾阴虚证 德尔菲法 证候标准
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刘振寰经验方治疗注意力缺陷多动障碍患儿的SNAP-Ⅳ评估分析 被引量:6
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作者 陈杰奎 刘振寰 《广州中医药大学学报》 CAS 2017年第6期846-849,共4页
【目的】通过SNAP-Ⅳ评定量表评价刘振寰教授经验方消惊汤加减治疗肝肾阴虚型注意力缺陷多动障碍(ADHD)患儿的临床疗效。【方法】采用随机对照的试验方法,将60例患儿随机分为中药组及对照组,每组各30例。中药组给予刘振寰教授经验方消... 【目的】通过SNAP-Ⅳ评定量表评价刘振寰教授经验方消惊汤加减治疗肝肾阴虚型注意力缺陷多动障碍(ADHD)患儿的临床疗效。【方法】采用随机对照的试验方法,将60例患儿随机分为中药组及对照组,每组各30例。中药组给予刘振寰教授经验方消惊汤加减口服治疗,对照组给予哌甲酯片口服治疗。比较2组患儿治疗4周后SNAP-Ⅳ评定量表各分量表分值变化情况及其临床缓解率情况。【结果】(1)治疗4周后,2组患儿SNAP-Ⅳ评定量表中注意力不集中、多动—冲动分量表评估分值均较治疗前明显改善(P<0.01),且中药组对患儿注意力不集中、多动—冲动分量表评估分值的改善作用均明显优于对照组(P<0.05)。(2)中药组临床缓解率为60.0%,对照组为33.3%,中药组的临床缓解率明显优于对照组,差异有统计学意义(P<0.05)。【结论】刘振寰教授经验方消惊汤加减治疗肝肾阴虚型注意力缺陷多动障碍患儿疗效显著。 展开更多
关键词 消惊汤 注意力缺陷多动障碍 肝肾阴虚 SNAP-Ⅳ评定量表 刘振寰
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自拟益静汤治疗儿童注意缺陷多动障碍肝肾阴虚证的临床观察
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作者 欧阳升 《医师在线》 2023年第8期66-69,共4页
目的观察自拟益静汤治疗注意缺陷多动障碍肝肾阴虚证患儿的疗效。方法选取2020年1月~2022年9月在我院门诊就诊的注意缺陷多动障碍肝肾阴虚证儿童56例,按照随机数字表法分成两组,每组28例。治疗组给予口服自拟益静汤治疗,对照组给予口服... 目的观察自拟益静汤治疗注意缺陷多动障碍肝肾阴虚证患儿的疗效。方法选取2020年1月~2022年9月在我院门诊就诊的注意缺陷多动障碍肝肾阴虚证儿童56例,按照随机数字表法分成两组,每组28例。治疗组给予口服自拟益静汤治疗,对照组给予口服盐酸哌甲酯治疗,疗程均为2个月,治疗结束后对患儿症状的改善程度进行评价。结果治疗组的SNAP-IV多动-冲动评分、临床总有效率与对照组相比,结果均无统计学意义(P>0.05),治疗组中医症候总积分降低更明显(P<0.05)、不良反应率更低(P<0.05)。结论自拟益静汤治疗儿童注意缺陷多动障碍肝肾阴虚证疗效肯定,且不良反应发生率较低。 展开更多
关键词 注意缺陷多动障碍 肝肾阴虚证 自拟益静汤 盐酸哌甲酯
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Protective effect of Yiguanjian decoction against DNA damage on concanavalin A-induced liver injury mice model 被引量:7
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作者 Tian Mengxi Liu Wenlan +5 位作者 You Hongjie Zhao Qingzhou Ouyang Luodan Gao Biane Zhang Xin Che Niancong 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2016年第4期471-478,共8页
OBJECTIVE:To investigate the inhibitory effect of Yiguanjian decoction(YD) on DNA damage in Concanavalin A(Con A)-induced liver injury mice model and to explain the possible mechanism.METHODS:Totally 120 male BALB/c m... OBJECTIVE:To investigate the inhibitory effect of Yiguanjian decoction(YD) on DNA damage in Concanavalin A(Con A)-induced liver injury mice model and to explain the possible mechanism.METHODS:Totally 120 male BALB/c mice were randomly divided into 6 groups,20 mice each:normal group,model group,Bifendate group,YD low dose group,YD middle dose group and YD high dose group.Except normal group,liver injury model induced by Con A was established.While modeling,each mouse in YD group was given YD(0.4 m L/20 g per day) by intragastric administration(0.13 g YD for YD low dose group;0.26 g for YD middle dose group;0.52 g for YD high dose group).Bifendate group was given Bifendate(0.2 gnd model·kg-1 grou·d-1) by gavage.Normal group ap were fed with same volume of physiological saline daily.After 8 weeks,the serum alanine transaminase(ALT)and aspartate transaminase(AST) were tested.The hematoxylin-eosin staining was used to evaluate the grade of liver inflammation and liver fibrosis stage.Hepatocellular DNA damage was detected by single cell gel electrophoresis technology.The protein expression of tumor necrosis factor-α(TNF-α),Bax and Mut T Homolog 1(MTH1) was detected by western blotting and enzyme linked immunosorbent assay.Bax m RNA and MTH1 m RNA were detected by Real-time Polymerase Chain Reaction(PCR).RESULTS:YD can improve the degree of liver inflammation and fibrosis in the liver of chronic hepatitis mice,the dose effect relationship is remarkable(P < 0.05).YD can reduce liver cell DNA damage.The difference between YD middle dose group and model group was statistically significant(P < 0.05).YD middle dose group had decreased the protein expression of TNF-α in the mice liver of immunological liver injury(P < 0.05).YD can increase the protein expression of Bax(P < 0.05).Compared with normal group,the protein expression of MTH1 was decreased(P < 0.05),but there was no statistical significance between YD group and model group(P >0.05).YD can increase the m RNA expression of Bax and MTH1(both P < 0.05).CONCLUSION:YD can effectively inhibit the DNA damage in immunological liver injury mice,the mechanism may be that it can decrease the TNF-αand increase the Bax and MTH1 expression. 展开更多
关键词 Drug-induced liver injury liver kidney yin deficiency DNA damage Concanavalin A Yiguanjian decoction
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阿德福韦酯联合杞菊地黄丸治疗肝肾阴虚型乙型肝炎的临床研究 被引量:1
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作者 张锦义 姜宏伟 《中国现代医生》 2011年第3期38-39,共2页
目的观察阿德福韦酯联合杞菊地黄丸治疗肝肾阴虚型慢性乙型肝炎的疗效。方法 110例患者随机分为对照组和治疗组各55例,对照组给予阿德福韦酯10mg/d口服,治疗组在对照组的基础上加服杞菊地黄丸。两组均治疗6个月。检测比较HBV标志物及HBV... 目的观察阿德福韦酯联合杞菊地黄丸治疗肝肾阴虚型慢性乙型肝炎的疗效。方法 110例患者随机分为对照组和治疗组各55例,对照组给予阿德福韦酯10mg/d口服,治疗组在对照组的基础上加服杞菊地黄丸。两组均治疗6个月。检测比较HBV标志物及HBV-DNA、ALT等指标的变化。结果治疗组血清HBeAg阴转率、HBeAg/抗HBe血清转换率明显高于对照组(P<0.05),6个月后其HBV-DNA和ALT下降程度与对照组相比有显著差异(P<0.05)。结论阿德福韦酯联合杞菊地黄丸可明显提高肝肾阴虚型慢性乙肝患者的血清HBeAg阴转率、HBeAg/抗HBe血清转换率,并能明显降低HBV-DNA和ALT,是一种对肝肾阴虚型慢性乙肝较好的治疗方法。 展开更多
关键词 慢性乙型肝炎 肝肾阴虚型 阿德福韦酯 杞菊地黄丸
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Study on Molecular Mechanism of Liver Yang Ascending Syndrome in Hypertension
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作者 金益强 胡随瑜 +5 位作者 鄢东红 刘爱平 唐发清 肖纯 谌兵来 王勇华 《Chinese Journal of Integrative Medicine》 SCIE CAS 2000年第4期244-249,共6页
Objective: To investigate the molecular mechanism of Liver Yang Ascending Syndrome (LYAS) in hypertension. Methods: The plasma norepinephrine (NE), epinephrine (E) contents in patients with LYAS or Liver and Kidney Yi... Objective: To investigate the molecular mechanism of Liver Yang Ascending Syndrome (LYAS) in hypertension. Methods: The plasma norepinephrine (NE), epinephrine (E) contents in patients with LYAS or Liver and Kidney Yin Deficiency Syndrome (LKYDS) of hypertension and normal controls were determined by high performance liquid chromatography-electrochemical detector (HPLC-ECD). The polymorphism of tyrosine hydroxylase (TH) gene in the three groups were analysed by Southern Blot assay. The polymorphism of TH and monoamine oxidation A(MAO-A), monoamine oxidation B(MAO-B) gene microsatellite in these groups were analysed by polymerase chain reaction (PCR)-SSCP. At the same time, the LYAS model was established by administering Aconitum preparation (AP) to spontaneous hypertension rats (SHR). The adrenal gland medulla of the experimental animal was examined for their TH expression at the protein level after ABC immuno-histochemical staining with the TH monoclonal antibody (McAb). The adrenal TH gene mRNA expression was demonstrated by in situ hybridization with the synthetized TH oligonucleic acid probe. The results of immuno-histochemistry and in situ hybridization were analyzed with the image analysis system (IAS). Results: The plasma NE and E contents in patients with LYAS were more obviously increased than those in LKYDS and normal controls. The TH gene amplified and the type A1 TH microsatellite D11S4046 was markedly higher in the LYAS group than those in the other groups. The TH mRNA protein expression in the adrenal tissue of the AP induced LYAS model in SHR elevated. Conclusion: The LYAS of hypertension has the characters as amplified TH gene and increased TH mRNA and protein expression, which suggested that the overexpression of TH is probably the mechanism of LYAS in hypertension. 展开更多
关键词 HYPERTENSION liver Yang Ascending Syndrome liver and kidney yin Deficiency Syndrome tyrosine hydroxylase molecular mechanism
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Combined acupuncture and Chinese herb decoction for 5 cases with graphospasm 被引量:2
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作者 Miao ZHANG Ying ZHAO +2 位作者 Kun-peng XIA Cheng-xin FAN Yang LIU( 《World Journal of Acupuncture-Moxibustion》 CSCD 2020年第1期74-77,共4页
Combined acupuncture and Chinese herb decoction were applied for 5 cases with graphospasm.Acupuncture included scalp acupuncture and body acupuncture.Using transcranial repeated needling,Baihui(百会GV20),Chorea-trembl... Combined acupuncture and Chinese herb decoction were applied for 5 cases with graphospasm.Acupuncture included scalp acupuncture and body acupuncture.Using transcranial repeated needling,Baihui(百会GV20),Chorea-trembling controlled area,Emotional area,as well as Dazhui(大椎GV14),Fengchi(风池GB20),and Yingxiang(迎香EX-HN8)etc.were stimulated by proposed by Sun Shentian.Meanwhile,the patients took orally Chinese herb decoction,on the basis of the Siwu decoction(四物汤four substances decoction)addition and subtraction,relieve symptoms under syndrome differentiation.The treatment was carried out for 4 courses in total.One course consisted of 5 days,with an interval of 2 days between two courses.After treatment of 5 patients,2 patients were cured,2 patients achieved markedly effective response,and 1 patient achieved effective response. 展开更多
关键词 Graphospasm COMBINED ACUPUNCTURE and Chinese HERB DECOCTION TRANSCRANIAL repeated NEEDLING liver and kidney yin deficiency Blood failing to nourish the sinews Electroacupuncture
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针刺辅助治疗儿童注意缺陷多动障碍肝肾阴虚证31例临床观察 被引量:1
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作者 邵琳红 《中医儿科杂志》 2022年第5期94-99,共6页
目的观察针刺辅助治疗儿童注意缺陷多动障碍肝肾阴虚证的疗效及对血清多巴胺(DA)和去甲肾上腺素(NE)水平的影响。方法选取2019年2月至2021年2月在浙江大学医学院附属第二医院嘉善分院康复科就诊的注意缺陷多动障碍肝肾阴虚证患儿62例,... 目的观察针刺辅助治疗儿童注意缺陷多动障碍肝肾阴虚证的疗效及对血清多巴胺(DA)和去甲肾上腺素(NE)水平的影响。方法选取2019年2月至2021年2月在浙江大学医学院附属第二医院嘉善分院康复科就诊的注意缺陷多动障碍肝肾阴虚证患儿62例,按照随机数字表法分为对照组和治疗组,各31例。对照组予盐酸托莫西汀胶囊口服,治疗组在对照组治疗方法的基础上采用针刺治疗。2组均连续治疗12周后统计临床疗效,治疗前后Conners父母用症状问卷(PSQ)评分和注意缺陷多动障碍筛查量表(SNAPIV)评分以及血清多巴胺(DA)和去甲肾上腺素(NE)水平的变化情况。结果治疗前,2组PSQ评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组PSQ各维度评分均显著降低,与同组治疗前比较,差异均有统计学意义(P<0.01),且治疗组降低更显著(P<0.05)。治疗前,2组SNAP-IV评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组SNAP-IV评分均明显降低,与同组治疗前比较,差异均有统计学意义(P<0.01),且治疗组降低更显著(P<0.05)。治疗前,2组中医证候评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组的中医证候评分均显著降低,与同组治疗前比较,差异均有统计学意义(P<0.01),且治疗组降低更显著(P<0.05)。对照组总有效率为54.84%(17/31),治疗组为83.87%(26/31),2组比较,差异有统计学意义(P<0.05)。治疗前,2组血清DA和NE水平比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组血清DA和NE水平均显著升高,与同组治疗前比较,差异有统计学意义(P<0.01),且治疗组升高更显著(P<0.01)。结论针刺辅助治疗儿童注意缺陷多动障碍肝肾阴虚证,能够有效改善患儿的临床症状、体征,升高血清DA和NE水平,疗效显著,值得临床推广应用。 展开更多
关键词 注意缺陷多动障碍 儿童 肝肾阴虚证 针刺 多巴胺 去甲肾上腺素 临床观察
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