智杞颗粒联合氟哌啶醇片治疗肝肾阴虚型儿童多发性抽动症临床研究
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Clinical Study on Zhiqi Granules Combined with Haloperidol Tablets for Tourette Syndrome in Children of Liver-Kidney Yin Deficiency Type
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    摘要:

    目的:观察智杞颗粒联合氟哌啶醇片治疗肝肾阴虚型儿童多发性抽动症的临床疗效。方法:回顾 性分析110 例肝肾阴虚型多发性抽动症患儿的临床资料,根据治疗方法分为2 组各55 例。观察组予智杞颗粒 联合氟哌啶醇片治疗,对照组予氟哌啶醇片治疗。2 组均以4 周为1 个疗程,连续治疗3 个疗程。治疗前后评 定中医证候评分、耶鲁综合抽动严重程度量表(YGTSS) 评分,检测血清铅水平,比较2 组的临床疗效,观察 2 组不良反应的发生情况。结果:治疗3 个疗程后,观察组总有效率高于对照组(P<0.05)。2 组摇头耸肩、 挤眉弄眼、肢体震颤、形体消瘦、两颧潮红评分均较治疗前降低(P<0.05),观察组以上5 项中医证候评分均 低于对照组(P<0.05)。2 组血清铅水平均较治疗前下降(P<0.05),观察组血清铅水平低于对照组(P< 0.05)。2 组抽动次数、抽动频率、抽动强度评分均较治疗前下降(P<0.05),观察组以上3 项评分均低于对照 组(P<0.05)。结论:智杞颗粒联合氟哌啶醇片治疗肝肾阴虚型儿童多发性抽动症,可提高临床疗效,有效缓 解症状和促进患儿体内铅的排出,改善肌肉功能,不良反应少,安全性好。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Zhiqi Granules combined with Haloperidol Tablets on tourette syndrome in children of liver- kidney yin deficiency type. Methods:A retrospective study was conducted on the clinical data of 110 children with tourette syndrome of the liver and kidney yin deficiency type. The children were divided into two groups according to different treatment methods,with 55 cases in each group. The observation group was treated with Zhiqi Granules combined with Haloperidol Tablets , and the control group was treated with Haloperidol Tablets. Both groups were treated for three consecutive courses of treatment, with 4 weeks as a course. Traditional Chinese medicine (TCM) syndrome scores and the scores of Yale Global Tic Severity Scale (YGTSS) were evaluated before and after treatment. The levels of serum lead were detected. Clinical effects were compared between the two groups. The incidence of adverse reactions in the two groups was observed. Results:After three treatment courses, the total effective rate in the observation group was higher than that in the control group (P< 0.05). The scores of shaking head and shrugging shoulders, winking, shaking limbs, emaciation, and cheeks flushing in the two groups were decreased when compared with those before treatment (P<0.05), and the above five TCM syndrome scores in the observation group were lower than those in the contro group (P<0.05). The levels of serum lead in the two groups were decreased when compared with those before treatment (P<0.05),and the level of serum lead in the observation group was lower than that in the control group (P<0.05). The scores of number of times,frequency,and intensity of tics in the two groups were decreased when compared with those before treatment (P<0.05),and the above three scores in the observation group were lower than those in the control group (P<0.05). Conclusion: Zhiqi Granules combined with Haloperidol Tablets for tourette syndrome in children of liver-kidney yin deficiency type can enhance clinical effects, effectively relieve symptoms, promote the excretion of lead in the body, and improve muscle function,with few adverse reactions and good safety.

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蒋美红,董灵,何辉.智杞颗粒联合氟哌啶醇片治疗肝肾阴虚型儿童多发性抽动症临床研究[J].新中医,2024,56(4):102-105

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  • 在线发布日期: 2024-02-28
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