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对一家韩医诊所87名抽动症患者进行6个月治疗的数据分析。

Data analysis of 87 tic patients for 6 months' treatment in a Korean medicine clinic.

作者信息

Chun Young-Ho, Kim Won-Ill, Kim Bo-Kyung

机构信息

Department of Oriental Neuropsychiatry, College of Oriental Medicine, Dong-Eui University, South Korea.

出版信息

J Acupunct Meridian Stud. 2013 Oct;6(5):263-9. doi: 10.1016/j.jams.2013.01.004. Epub 2013 Feb 11.

Abstract

This study was carried out to investigate the relationship between the therapeutic effects of treatment for tic disorder and Korean medicine clinical tests, including body mass index (BMI) and heart variability rate (HRV). This study was not a clinical trial, but a data analysis of 87 tic patients who were treated for 6 months during the time period from Nov. 2010 to Jan. 2012. The clinical evaluation of the symptoms was recorded using the Korean version of the Yale Global Tic Severity Scale (YGTSS). The BMI and the HRV were measured according to a schedule, and various kinds of statistical methods were used. Among the 87 patients, the number of males was 3.34 times the number of females, and 58 patients (66.7%) had been suffering for more than 12 months. The onset age of the males was significantly lower than that of the females, and males had the symptoms longer than females had. Also, males with a family history of tics were 2.5 times as many as females, and their onset ages were substantially lower. At the first medical examinations, the average score on the YGTSS was 34.08, and it decreased linearly as the treatment progressed. After 4 and 6 months of treatment, it had decreased significantly. The YGTSS score and the period of suffering correlated positively. At the first visit, each HRV datum was in the normal range. After the 6 months' treatment, Ln (TP), Ln (LF), and Ln (HF) had dropped substantially in the normal range while Ln (VLF) and the LF/HF ratio had not changed in a meaningful way. During the treatment period, the BMI stayed relatively constant without any meaningful changes.

摘要

本研究旨在探讨抽动障碍治疗效果与韩医学临床试验之间的关系,包括体重指数(BMI)和心率变异性(HRV)。本研究并非临床试验,而是对2010年11月至2012年1月期间接受了6个月治疗的87例抽动症患者进行的数据分析。使用耶鲁全球抽动严重程度量表(YGTSS)的韩文版记录症状的临床评估。按照时间表测量BMI和HRV,并使用了各种统计方法。在这87例患者中,男性数量是女性数量的3.34倍,58例患者(66.7%)患病超过12个月。男性的发病年龄显著低于女性,且男性出现症状的时间比女性长。此外,有抽动症家族史的男性是女性的2.5倍,且他们的发病年龄明显更低。在首次医学检查时,YGTSS的平均得分是34.08,随着治疗进展呈线性下降。治疗4个月和6个月后,得分显著下降。YGTSS得分与患病时长呈正相关。在首次就诊时,每个HRV数据均在正常范围内。经过6个月治疗后,Ln(TP)、Ln(LF)和Ln(HF)在正常范围内大幅下降,而Ln(VLF)和LF/HF比值没有显著变化。在治疗期间,BMI相对保持稳定,没有任何显著变化。

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