穴位敏感点揿针配合中药治疗多发性抽动症的疗效观察OACSTPCD
Therapeutic observation of thumbtack needles at the sensitive spots around points plus Chinese medication for Tourette syndrome
目的 观察穴位敏感点揿针配合中药治疗多发性抽动症的临床疗效.方法 将 150 例多发性抽动症患者随机分为治疗组、对照1 组和对照2组,每组50 例.治疗组采用穴位敏感点揿针配合中药治疗,对照1 组采用揿针配合中药治疗,对照 2 组采用口服盐酸硫必利片治疗.观察 3 组治疗前后耶鲁抽动程度综合量表(Yale global tic severity scale,YGTSS)各项评分及各项中医症候积分的变化情况,比较 3 组临床疗效及不良反应发生率.结果 治疗组总有效率为 89.6%,对照 1 组为 80.4%,对照 2 组为 69.6%,治疗组总有效率明显高于对照1组和对照2 组(P＜0.05),对照1组总有效率明显高于对照2组(P＜0.05).3组治疗后中医证候积分及YGTSS 各项评分均较同组治疗前显著下降,差异均具有统计学意义(P＜0.05).治疗组和对照 1 组治疗后中医证候积分及YGTSS各项评分均明显低于对照 2 组,差异均具有统计学意义(P＜0.05).治疗组治疗后运动抽动、烦躁易怒、精神倦怠、纳差积分及YGTSS各项评分均明显低于对照 1 组,差异均具有统计学意义(P＜0.05).治疗组治疗期间不良反应发生率为 6.3%,对照 1 组为 8.7%,对照 2 组为 26.1%,治疗组和对照 1 组不良反应发生率均明显低于对照 2 组,差异均有统计学意义(P＜0.05).结论 穴位敏感点揿针配合中药治疗脾虚肝旺型多发性抽动症有较好的临床疗效,能够改善多发性抽动症患者的临床症状,安全性较高.
Objective To observe the clinical efficacy of thumbtack needles at the sensitive spots around points plus Chinese medication in treating Tourette syndrome(TS).Method A total of 150 TS patients were randomly allocated to a treatment group,control group 1,and control group 2,each consisting of 50 cases.The treatment group received thumbtack needles at the sensitive spots around points plus Chinese medication,control group 1 was treated with thumbtack needles plus Chinese medication,and control group 2 received oral Tiapride hydrochloride tablets.The Yale global tic severity scale(YGTSS)scores and traditional Chinese medicine(TCM)symptom scores were observed before and after the treatment,and the clinical efficacy and adverse reaction rate were compared among the three groups.Result The total effective rate was 89.6% in the treatment group,versus 80.4% in control group 1 and 69.6% in control group 2;the treatment group had a significantly higher total effective rate than control groups 1 and 2(P＜0.05),and control group 1 was markedly higher than control group 2(P＜0.05).In the three groups,the TCM symptom scores and YGTSS scores all dropped significantly after the intervention(P＜0.05).The TCM symptom scores and YGTSS scores were notably lower in the treatment group and control group 1 than in control group 2(P＜0.05).The scores of motor tics,irritation,lassitude,and poor appetite and YGTSS scores were significantly lower in the treatment group than in control group 1 after the intervention(P＜0.05).During the treatment,the treatment group had an adverse reaction rate of 6.3%,and it was 8.7% in control group 1 and 26.1% in control group 2;the rate was lower in the treatment group and control group 1 than in control group 2,both showing statistical significance(P＜0.05).Conclusion Chinese medication plus thumbtack needles at the sensitive spots around points can produce satisfactory clinical efficacy in treating TS due to spleen deficiency and liver hyperactivity.This method can improve clinical symptoms in TS kids with good safety rating.
丁金磊;刘伙生;王红;何天峰;马洁;张立娜;陶善平
上海市嘉定区中医医院,上海 201899上海市宝山区中冶医院,上海 200941
中医学
针刺疗法抽动症揿针皮肤针疗法中药针药并用
Acupuncture therapyTourette syndromeThumbtack needleDermal needle therapyChinese medicinesAcupuncture medication combined
《上海针灸杂志》 2024 (007)
713-718 / 6
上海市嘉定区名老中医工作室(流派工作室)(2021MLZYGZS-03)
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