清热养阴柔肝汤联合重复经颅磁刺激治疗儿童注意缺陷多动障碍临床研究
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R749.94

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Clinical Study on Qingre Yangyin Rougan Tang Combined with Repeated Transcranial Magnetic Stimulation for Attention Deficit Hyperactivity Disorder in Children
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    摘要:

    目的:观察清热养阴柔肝汤联合重复经颅磁刺激(rTMS) 治疗儿童注意缺陷多动障碍(ADHD)的临床疗效。方法:选取儿童ADHD 患者72 例,按随机数字表法分为对照组和观察组各36 例。对照组给予rTMS 治疗,观察组在对照组基础上加清热养阴柔肝汤治疗,2 组均治疗12 周。评价2 组临床疗效,比较2 组治疗前后注意力[数字划消测验(NCT)] 和行为能力[Conners 儿童行为问卷(父母用量表)]的变化。结果:观察组总有效率为94.44%,高于对照组77.78%,差异有统计学意义(P<0.05)。治疗前,2 组NCT 评分比较,差异无统计学意义(P>0.05)。治疗后,2 组划对数评分较治疗前升高,且观察组划对数评分高于对照组(P<0.05);2 组划错数、划漏数评分较治疗前降低,且观察组划错数、划漏数评分低于对照组(P<0.05)。治疗前,2 组Conners 儿童行为问卷评分比较,差异无统计学意义(P>0.05)。治疗后,2 组Conners 儿童行为问卷评分较治疗前下降(P<0.05),且观察组Conners 儿童行为问卷评分低于对照组(P<0.05)。结论:清热养阴柔肝汤联合rTMS 治疗儿童ADHD 的疗效确切,不仅能改善患儿的注意力,而且能提升患儿的行为能力。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Qingre Yangyin Rougan tang combined with repeated transcranial magnetic stimulation(rTMS) on children with attention deficit hyperactivity disorder (ADHD). Methods:A total of 72 children with ADHD were selected and divided into the control group and the observation group according to random number table method,with 36 cases in each group. The control group was treated with rTMS, and the observation group was additionally treated with Qingre Yangyin Rougan tang based on the treatment of the control group. Both groups were treated for 12 weeks. The clinical effects in the two groups were evaluated,and the changes of attention and behavioral ability were observed through Number cancellation Task(NCT) and Conners Children Behavioral Questionnaire respectively were compared before and after treatment. Results: The total effective rate was 94.44% in the observation group,higher than that of 77.78% in the control group,the difference being significant(P< 0.05). Before treatment, there was no significant difference in NCT scores between the two groups(P> 0.05). After treatment,the scores of number of targets hit in both groups were increased when compared with those before treatment,and the score of number of targets hit in the observation group was higher than that in the control group(P<0.05). The scores of number of errors and number of targets missed in both groups were decreased when compared with those before treatment,and the scores of number of errors and number of targets missed in the observation group were lower than those in the control group(P<0.05). Before treatment, there was no significant difference in the scores of Conners Children Behavioral Questionnaire between the two groups(P>0.05). After treatment, the scores of Conners Children Behavioral Questionnaire in both groups were decreased when compared with those before treatment(P< 0.05),and the score of Conners Children Behavioral Questionnaire in the observation group was lower than that in the control group(P<0.05). Conclusion:The therapy of Qingre Yangyin Rougan tang combined with rTMS has a definite curative effect on the treatment of ADHD in children,which can not only improve the attention of children,but also enhance their behavioral ability.

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李超,林丽红.清热养阴柔肝汤联合重复经颅磁刺激治疗儿童注意缺陷多动障碍临床研究[J].新中医,2022,54(13):112-115

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  • 在线发布日期: 2022-07-07
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