| 陈雨霞,沈一菁,陈志伟,张喜林,赵 怡,孙武权.推拿联合简易六字诀功法治疗抽动障碍患者的疗效及安全性分析[J].,2022,(17):3284-3288 |
| 推拿联合简易六字诀功法治疗抽动障碍患者的疗效及安全性分析 |
| Efficacy and Safety Analysis of Massage Combined with Simple Liuzijue Exercises in the Treatment of Patients with Tic Disorder |
| 投稿时间：2022-03-14 修订日期：2022-04-10 |
| DOI：10.13241/j.cnki.pmb.2022.17.016 |
| 中文关键词: 推拿 简易六字诀功法 抽动障碍 患儿 |
| 英文关键词: Massage Simple Liu Zijue exercises Tic disorder Children |
| 基金项目:上海市卫健委上海市临床重点专科基金项目（No.shslczdzk04001） |
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| 中文摘要: |
| 摘要 目的：探究推拿联合简易六字诀功法治疗抽动障碍患者的疗效及安全性分析。方法：选择2021年3月至2022年1月于上海中医药大学附属岳阳中西医结合医院就诊于推拿科，并通过病史询问、量表评估被确诊为抽动障碍的患者。本研究随机分为对照组（n=27）及联合组（n=31）2组，对照组进行单纯推拿治疗，联合组进行推拿联合六字诀功法治疗。根据耶鲁综合抽动严重程度量表对患儿治疗前后的运动性抽动、发声性抽动以及社会行为影响作出评估，根据尼莫地平法计算患儿治疗前后疗效指数，统计患儿治疗的不良事件。结果：（1）两组患儿一般临床资料对比无差异（P>0.05）。（2）联合组总有效率高于对照组（P<0.05）。（3）治疗前联合组与对照组发声性抽动评分、缺损评分无差异，治疗后联合组发声性抽动评分、缺损评分明显高于对照组，两组治疗后均明显低于治疗前（P<0.05）。（4）治疗前后联合组与对照组YGTSS总分、运动性抽动评分无差异，两组治疗后YGTSS总分与运动性抽动评分均明显低于治疗前，且联合组低于对照组（P<0.05）。结论：推拿和简易六字诀功法对抽动障碍患儿都有显著的治疗效果，且效果无差异，与单纯推拿相比，推拿联合简易六字诀功法更能降低患儿的缺损评分，减少抽动对患儿自尊、家庭生活、社交和学习的负面影响，值得临床借鉴。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the efficacy and safety of Tuina combined with Simple Liu Zi Jue exercises in the treatment of patients with tic disorder. Methods: From March 2021 to January 2022, patients who were diagnosed with tic disorder were selected for treatment in the Tuina Department at Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai University of Traditional Chinese Medicine. This study was randomly divided into control group (n=27) and joint group (n=31). According to the Yale Comprehensive Tic Severity Scale, the children's motor tics, vocal tics and social behaviors were evaluated before and after treatment. Results: (1) There was no difference in general clinical data between the two groups (P>0.05). (2) The total effective rate of combined group was higher than that of control group (P<0.05). (3) Before treatment, there was no difference in vocal tic score and defect score between the combined group and the control group. After treatment, the vocal tic score and defect score of the combined group were higher than those of the control group, and significantly lower than those of the two groups after treatment (P<0.05). (4) There was no difference in YGTSS total score and motor tic score between the combined group and the control group before and after treatment, and YGTSS total score and motor tic score after treatment were lower than before treatment, and the combined group was lower than the control group (P<0.05). Conclusion: Tuina and Simple Liu Zi Jue exercises have significant therapeutic effects on children with tic disorders, and there is no difference in the effect, compared with simple Tuina exercises, Tuina combined with Simple Liu Zi Jue exercises can reduce the defect score of children more, reduce the negative impact of tics on children's self-esteem, family life, social and learning, worthy of clinical application. |
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