揿针在风痰阻络型儿童多发性抽动症患者治疗中的应用效果研究

doi:10.3969/j.issn.1006-6233.2021.10.034

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Abstract Objective: To study the effect of pressing acupuncture in the treatment of children with multiple tics of wind-phlegm obstructing collaterals. Methods: This study is a prospective randomized controlled trial. The trial period is from March 2019 to March 2020. The subjects included 120 patients with wind-phlegm-resistance-type TS who were admitted to the Pediatric Clinic of the Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine. Random number table method is used in dividing the patients into control group 1, control group 2 and treatment group, 40 cases in each group. During the clinical investigation, 9 cases stopped responding, and 111 cases were actually followed up, including 37 cases in the control group 1, 36 cases in the control group 2, and 38 cases in the treatment group. The control group 1 was treated with traditional acupuncture, once a day, 5 days a week for 5 days; the control group 2 was treated with tiapride hydrochloride, with initial dose of 1/3~1 tablet/time and 1/2~2 tablet/time after 2 weeks of treatment, bid; the treatment group was treated with pressing needles, embedded for 5 days, and rested for 2 days afterwards, before the next needle embedding was performed. The three groups were treated for 8 weeks. Before treatment and 8 weeks after treatment, the three groups of TCM syndrome scores were assessed according to the "Standards for the Diagnosis and Efficacy of TCM Diseases", the Yale Comprehensive Tic Severity Scale (YGTSS) was used to assess the degree of tics in the three groups, and the three groups of serum dopamine (DA) and Norepinephrine (NE), and the efficacy of the three groups after 8 weeks of treatment was determined based on the changes in the YGTSS score. Measurement data such as TCM syndrome score, YGTSS score and serum DA and NE levels were compared by analyzing variance among multiple groups. Further pairwise comparisons between groups were performed by SNK-q test. Paired t-test was used before and after treatment within the group; Chi-square test was used for curative effect. Results: After 8 weeks of treatment, the TCM syndrome scores, YGTSS scores, and serum DA and NE levels in the three groups were all reduced compared with those before treatment (P<0.05), and the above indicators in the treatment group and the control group 1 were significantly lower than those in the control group 2 (P<0.05), there is also a significant difference between the treatment group and the control group 1 (P<0.05); the total effective rate of the treatment group is significantly higher than that of the control group 1 and 2 (P<0.05). Conclusion: The therapeutic effect of pressing needle for wind-phlegm blocking-collateral TS is ideal, which can effectively adjust the levels of serum DA and NE, significantly reduce the score of TCM syndrome, and significantly improve tic symptoms.

Key words： Pressing needle Wind phlegm obstructing collaterals Tourette' syndrome TCM syndrome score Recurrence Tic severity

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	FENG Qiuju
	CHEN Chen
	DU Juan
	et al

Cite this article:

FENG Qiuju,CHEN Chen,DU Juan, et al. Application Effect of Pressing Needle in the Treatment of Tourette Syndrome in Children with Wind Phlegm Obstructing Collaterals[J]. HeBei Med, 2021, 27(10): 1739-1743.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2021.10.034 OR http://www.hbyxzzs.cn/EN/Y2021/V27/I10/1739

[1] 吴灵芝,胡怡超,姜天鑫,等.自拟健脾熄风汤配合针刺治疗小儿多发性抽动症的疗效观察[J].广州中医药大学学报,2018,35(5):827~832.
[2] 马燕辉,毕海洋,马琳,等.针刺配合揿针治疗卒中后轻中度抑郁的疗效观察[J].上海针灸杂志,2019,38(2):174~177.
[3] 吕海波,甘收云.耳穴揿针贴压配合体针对1级高血压病即时降压效果的研究[J].湖北中医杂志,2018,40(4):49~50.
[4] Guha M.Diagnostic and statistical manual of mental disorders:DSM-5 (5th edition)[J].Reference reviews,2014,28(3):36~37.
[5] 汪受传,虞坚尔.中医儿科学[M].北京:中国中医药出版社,2012.173~177.
[6] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994.18.
[7] 杨圣海,王立文,王珺,等.健脑止抽颗粒联合硫必利治疗儿童抽动秽语综合征的效果[J].中国医药导报,2018,15(17):65~67.
[8] 杨传楹.羚羊角胶囊联合硫必利治疗儿童多发性抽动症的临床研究[J].现代药物与临床,2018,33(5):1207~1211.
[9] 李可,张海霞,何磊,等.多发性抽动症中医证候研究进展[J].国医论坛,2018,33(2):68~70.
[10] 于文静,张雯,史晓伟,等.健脾止动汤对多发性抽动症血清脑源性神经营养因子含量的影响及疗效观察[J].中华中医药学刊,2019,37(2):333~336.
[11] 杨江.从五脏论治多发性抽动症[J].江西中医药,2018,49(1):19~20.
[12] 王雅璇,李双,王素梅.王素梅教授运用揿针结合中药疗法治疗发声性抽动经验[J].世界中西医结合杂志,2016,11(9):1210~1212.
[13] 郎俊凤,王龙龙.揿针联合涤痰汤加减治疗多发性抽动障碍脾虚痰聚证47例疗效观察[J].云南中医中药杂志,2019,40(8):59~61.
[14] 刘璐佳,张迪,戚潇禹,等.针灸治疗多发性抽动症选穴规律文献分析[J].江苏中医药,2019,51(7):71~74.
[15] Zykov VP.Tiki i sindrom turetta u detei tics and tourette's syndrome in children[J].Zh Nevrol Psikhiatr Im S S Korsakova,2020,120(5):116~124.
[16] 高汉媛,王维红,李小芹,等.菖蒲郁金汤对多发性抽动症模型大鼠DA及DAT的影响[J].西部中医药,2019,32(11):P.21~25.