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[局部针刺治疗抽动障碍的疗效观察]

[Observation on therapeutic effect of tic disorders treated with local acupuncture].

作者信息

Xiang Sheng-Jin, Cai Yong-Hao, Zhang Zong-Duan

机构信息

Eye Department of Chinese Medicine, Affiliated Optic Hospital of Wenzhou Medical College, Wenzhou 325027, China.

出版信息

Zhongguo Zhen Jiu. 2010 Jun;30(6):469-72.

Abstract

OBJECTIVE

To observe the clinical efficacy on tic disorders (TD) treated with local acupuncture.

METHODS

The entire data of 196 cases, of which, 114 cases in acupuncture group were treated mainly with local acupuncture and 82 cases in western medication group were taken Tiapride tablets orally. YGTSS method was adopted for scoring and assessing the clinical efficacy.

RESULTS

The apparent improvement was achieved in YGTSS motor tic score in two groups. The markedly effective rates were 90.4% and 84.2% in acupuncture group and western medication group, respectively (P < 0.05), without significant difference in statistics. The effective rates of transient tic disorder (TTD) in acupuncture group and western medication group were 100.0% and 83.3%, respectively (P < 0.05), which indicated that the efficacy of acupuncture on TTD was advantageous to medical therapy. The effective rates of three kinds of TD in acupuncture group were 100.0%, 88.2% and 84.2% separately, of which, the efficacy of acupuncture on TTD was advantageous as compared with that on chronic tic disorder (CTD) and Toureett's syndrome (TS) (P < 0.05).

CONCLUSION

The overall efficacy on TD is similar between acupuncture and medical therapy, but the clinical efficacy of acupuncture on TTD is superior to medical therapy. Meanwhile, the efficacy of acupuncture on TTD is advantageous to that on CTD and TS. Hence, the intervention at early time can achieve satisfactory efficacy and probably prevent from CTD or TS.

摘要

目的

观察局部针刺治疗抽动障碍(TD)的临床疗效。

方法

收集196例患者的全部资料,其中针刺组114例,主要采用局部针刺治疗;西药组82例,口服硫必利片。采用耶鲁综合抽动严重程度量表(YGTSS)评分法评估临床疗效。

结果

两组YGTSS运动性抽动评分均有明显改善。针刺组和西药组的显效率分别为90.4%和84.2%(P<0.05),差异无统计学意义。针刺组和西药组的短暂性抽动障碍(TTD)有效率分别为100.0%和83.3%(P<0.05),表明针刺治疗TTD的疗效优于药物治疗。针刺组三种TD的有效率分别为100.0%、88.2%和84.2%,其中针刺治疗TTD的疗效优于慢性抽动障碍(CTD)和 Tourette综合征(TS)(P<0.05)。

结论

针刺与药物治疗TD的总体疗效相似,但针刺治疗TTD的临床疗效优于药物治疗。同时,针刺治疗TTD的疗效优于CTD和TS。因此,早期干预可取得满意疗效,并可能预防CTD或TS。

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