祛风安神推拿法治疗慢性运动或发声性抽动障碍的临床视察.pdfVIP

提 要 目的:慢性运动或发声性抽动障碍近年来在我国发病率呈上升趋势。本病对儿 童的的自我认同和社会认同产生了巨大的负面影响，并带来严重的心理障碍。目前 尚无推拿疗法治疗慢性运动或发声性障碍的临床文献以供参考。本研究目的是观察 祛风安神推拿疗法对慢性运动或发声性抽动障碍的干预作用。 方法：本课题收入40例患者，治疗组20例，采用祛风安神推拿法治疗；对照 组 20 例，采用内服中药治疗。治疗时间均以两周为 1 个疗程。以耶鲁综合抽动严 重程度量表（YGTSS）于治疗前及治疗3个疗程后评价其疗效。 结果：治疗组和对照组患者治疗3个疗程后症状均显着改善(P0.01)，治疗组 减分率较对照组减分率改善更明显(P0.05)。说明祛风安神推拿法对慢性运动或发 声性抽动障碍有明显的疗效。为治疗慢性抽动障碍开拓了一种全新的治疗方法。 结论：祛风安神推拿法治疗慢性运动或发声性抽动障碍疗效显着，无副作用， 患者经济负担小，有极大的临床价值及经济价值，值得推广应用。 关键词 慢性运动或发声性抽动障碍；祛风安神推拿法；抽动障碍；推拿疗法； YGTSS The clinical observation of message therapy of dispelling pathogenic wind for tranquillization in the treatment of chronic motor or vocal tic disorder Speciality：Acupuncture Moxibustion and Tuina Tutor：Prof.Ji Yuan Author ：Zhao Peng Specialty: Message Clinical research Abstract Objective:The incidence of chronic motor or vocal tic disorder has increased in china in recent years.Chronic motor or vocal tic disorder(CTD) exerted huge negative influence of child’s self －identity and social －identity,and led to serious psychological barriers.There was’t any message therapy to cure CTD.The objective of this research was to observe the intervention role of quieting wind and calming spirit message therapy. Methods:A total of 40 patients with chronic motor or vocal tic disorder were divided into two groups experimental group with quieting wind and calming spirit message therapy (20cases),and control group with Chinese medicine(20cases).Treatment time was 2 week for a course of treatment.The efficacy before the treatment and the efficacy after 3 coarse of the treatment was measured by the Yale global tic severity scale(YGTSS). Results:YGTSS