nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg journalInfo journalinfonormal searchdiv searchzone qikanlogo popupnotification paper paperNew
2022, 13, v.28 1029-1034
小儿抽动障碍的中西医研究进展
基金项目(Foundation): 黑龙江省中医药科研项目(ZHY2020-150); 黑龙江中医药大学科研基金项目(2019MS27)~~
邮箱(Email): wangyoupeng1964@163.com;
DOI: 10.13210/j.cnki.jhmu.20210419.002
发布时间: 2021-04-19
出版时间: 2021-04-19
网络发布时间: 2021-04-19
移动端阅读
摘要:

抽动障碍是影响儿童身心健康的常见神经精神障碍性疾病之一,如不早发现、早诊断、早治疗,可对患儿本身及其家庭、社会、学校生活造成严重影响。单纯西医治疗方法有药物、神经调控、心理行为治疗等,但疗效不理想。中医疗法中的中药、推拿、针灸等治疗方法从整体思维对本病进行辨证论治,以调顺五脏六腑之间的关系并达到阴阳平衡,弥补了西医治疗方法中的不足。近年来,临床上治疗小儿抽动障碍运用多种疗法联合治疗取得了明显疗效,使抽动障碍患儿的康复得到显著提高。笔者通过查阅近年来国内外相关文献资料,对儿童抽动障碍的病因病机、治疗方法的中西医研究进展进行详细阐述,以期进一步指导临床诊疗。

Abstract:

Tic disorder is one of the common neuropsychiatric disorders that affect children's physical and mental health.If it is not tested,diagnosed and treated early,it will have a serious impact on children themselves,their families,and even the whole society. Simple western medicine treatment methods include drugs,nerve regulation,psychological and behavioral therapy,but the results are not ideal. Traditional Chinese medicine takes systematic treatment based on syndrome differentiation and it uses methods of traditional Chinese medicine,massage and acupuncture to regulate five viscera and six bowels in order to harmonized Yin and Yang. These methods make up for the deficiencies of western treatment. In recent years,the clinical treatment of children with tic disorders involving a variety of combined therapy has achieved significant results. As a result,the rehabilitation of children with tic disorders has been significantly improved. By consulting the available literature at home and abroad in recent years,the author elaborates the etiology,pathogenesis and treatment of tic disorder in children,in order to further guide the clinical diagnosis and treatment.

参考文献

1刘芳,叶静萍,姚宝珍,等.儿童抽动障碍与链球菌感染关系的Meta分析[J].医学研究杂志,2019,48(3):124-129.

2 Cavanna AE.Gilles de la Tourette syndrome as a paradigmatic neuropsychiatric disorder[J].CNS Spectr,2018,23(3):213-218.

3翟倩,丰雷,张国富.儿童抽动障碍病因及治疗进展[J].中国实用儿科杂志,2020,35(1):66-72.

4 Robertson MM,Eapen V,Singer HS,et al.Gilles de la Tourette syndrome[J].Nat Revi Dis Primers,2017,3(1):97.

5祝雪英,郁峰,毛春发.血铅、锌水平与儿童抽动障碍的相关性分析[J].中国基层医药,2018,25(7):850-853.

6 Scharf JM,Yu D,Mathews CA,et al.Genome-wide association study of Tourette’s syndrome[J].Mol Psychiatry,2013,18(6):721-728.

7 Yang C,Zhang L,Zhu P,et al.The prevalence of tic disorders for children in China:A systematic review and meta-analysis[J].Medicine(Baltimore),2016,95(30):e4354.

8郑毅.儿童抽动障碍药物治疗[J].中国实用儿科杂志,2012,27(7):491-494.

9 Yang C,Zhang L,Zhu P,et al.The prevalence of tic disorders for children in China:A systematic review and meta-analysis[J].Medicine(Baltimore),2016,95(30):e4354.

10 The Subspecialty Group of Neurology,the Society of Pediatrics,Chinese Medical Association.Experts consensus of treatment and diagnosis of tic disorders in children(2017 practical version)[J].Chin J Appl Clin Pediatr,2017,32(15):1137-1140.

11 Stephen MS.Dopamine system stabilizers,aripiprazole,and the next generation of antipsychotics,part 1:"Goldilocks"actions at dopamine receptors[J].J Clin Psychiatry,2001,62(11):841-842.

12 Roessner V,the ESSTS Guidelines Group,Kerstin JP,et al.European clinical guidelines for Tourette syndrome and other tic disorders.PartⅡ:Pharmacological treatment[J].Eur Child Adolesc Psychiatry,2011,20(4):173-196.

13 Osland ST,Steeves TD,Pringsheim T.Pharmacological treatment for attention deficit hyperactivity disorder(ADHD) in children with comorbid tic disorders[J].Cochrane Database Syst Rev,2018,6:CD007990.

14 Jankovic J,Jimenez-Shahed J,Brown LW.A randomised,double-blind,placebo-controlled study of topiramate in the treatment of Tourette syndrome[J].JNeurol Neurosurg Psychiatry,2010,81(1):70-73.

15 Yang CS,Zhang LL,Lin YZ,et al.Sodium valproate for the treatment of Tourette′s syndrome in children:a systematic review and meta-analysis[J].Psychiatry Res,2015,226(2-3):411-417.

16杨丽丽,刘苓,廖青松,等.经颅微电流刺激治疗儿童抽动障碍疗效分析[J].现代医药卫生,2015,31(8):1203-1204.

17 Baldermann JC,Schüller T,Huys D,et al.Deep brain stimulation for Tourette-syndrome:A systematic review and metaanalysis[J].Brain Stimul,2016,9(2):296-304.

18 Ganos C,Martino D,Pringsheim T,et al.Tics in the pediatric population:Pragmatic management[J].Mov Disord Clin Pract,2017,4(2):160-172.

19 Yates R,Edwards K,King J,et al.Habit reversal training and educational group treatments for children with tourette syndrome:A preliminary randomised controlled trial[J].Behav Res Ther,2016,80:43-50.

20 Dabrowski J,King J,Edwards K,et al.The long-term effects of group-based psychological interventions for children with Tourette syndrome:A randomized controlled trial[J].Behav Ther,2018,49(3):331-343.

21 Rizzo R,Pellico A,Silvestri PR,et al.A randomized controlled trial comparing behavioral,educational,and pharmacological treatments in youths with chronic tic disorder or Tourette syndrome[J].Front Psychiatry,2018,9:100.

22刘弼臣.小儿抽动-秽语综合征治疗经验[J].中国中医药现代远程教育,2004,2(7):19-21.

23夏桂选,左加成,徐荣谦.徐荣谦教授治疗儿童抽动障碍的经验[J].中国中西医结合儿科学,2014,6(6):500-502.

24李霁,韩斐.韩斐运用中医心主神明论诊治抽动障碍思路及经验[J].辽宁中医药大学学报,2014,16(8):151-154.

25王江,张骠.张骠教授治疗儿童抽动障碍经验举要[J].中国中医急症,2016,25(3):438-439,460.

26纪文娜,马融.从肝脾论治小儿抽动障碍[J].吉林中医药,2013,33(10):1004-1005.

27黄梦婷,王俊宏,黄靖涵,等.王俊宏治疗抽动障碍合并注意力缺陷多动症的诊疗思路[J].中国中医基础医学杂志,2020,26(6):859-861.

28郑宏,王素梅.王素梅从肝脾论治小儿多发性抽动症经验[J].辽宁中医杂志,2017,44(11):2284-2285.

29冯海音,徐荣谦.从胆论治多发性抽动症体会[J].中医杂志,2013,54(17):1511-1513.

30隆红艳,张骠.从“脑髓神机失调”角度认识小儿多发性抽动症的关键病机[J].辽宁中医杂志,2012,39(1):73-75.

31张永春,汪受传.汪受传从风痰论治儿童多发性抽动症经验[J].中华中医药杂志,2010,25(4):549-550.

32俞婉静,阮红明,韩新民.韩新民从风痰论治儿童抽动症经验[J].浙江中医药大学学报,2017,41(1):69-71.

33李妍怡,巩婷,樊省安,等.小儿多发性抽动症治验[J].西部中医药,2017,30(3):48-50.

34夏桂选,张艳琴,徐荣谦.从三焦论治儿童抽动障碍:第28次全国中医儿科学术大会暨2011年名老中医治疗(儿科)疑难病临床经验高级专修班[C].中国浙江宁波,2011.

35李蕙,叶志华.高树彬教授从经筋论治小儿多发性抽动症经验[J].中医儿科杂志,2016,12(2):9-11.

36李香玉,张慧,王烈.王烈教授以调神汤治疗小儿心肝系疾病验案探析[J].光明中医,2016,31(6):773-774.

37李亚群,阎兆君,金枝.从肾志论治多发性抽动症[J].中国中医药现代远程教育,2016,14(2):37-38.

38吴力群,徐正莉,王素梅,等.胡天成教授从血论治小儿多发性抽动症经验[J].四川中医,2010,28(1):11-12.

39张浛芮,刘茂,王宇,等.李应昆教授针灸治疗抽动障碍经验初探[J].中国针灸,2018,38(11):1209-1211.

40邓辉辉,高梦,刘喆.刘喆教授腹背交替针刺治疗慢性抽动障碍经验[J].浙江中医药大学学报,2018,42(4):326-327.

41查素素,鲍超,陈栋,等.吴旭教授运用“调肝熄风”针法治疗抽动障碍的经验[J].环球中医药,2018,11(3):398-400.

42沈红岩,张子鹤,王雪峰.安神宁志推拿法联合中药治疗儿童抽动障碍临床观察[J].中国中西医结合儿科学,2020,12(4):284-287.

43陈宜,黄晶晶,何维佳,等.耳穴贴压联合健脾止动汤治疗儿童多发性抽动症临床观察[J].时珍国医国药,2016(2):386-387.

44郎俊凤,王龙龙.揿针联合涤痰汤加减治疗多发性抽动障碍脾虚痰聚证47例疗效观察[J].云南中医中药杂志,2019,40(8):59-61.

45李伟元,邓丽莎,莫珊,等.中西医结合阶梯法治疗小儿抽动障碍疗效观察[J].广州中医药大学学报,2013,30(2):157-161.

基本信息:

DOI:10.13210/j.cnki.jhmu.20210419.002

中图分类号:R749.94

引用信息:

[1]程燕,郭峥,冯秋菊,等.小儿抽动障碍的中西医研究进展[J].海南医学院学报,2022,28(13):1029-1034.DOI:10.13210/j.cnki.jhmu.20210419.002.

基金信息:

黑龙江省中医药科研项目(ZHY2020-150); 黑龙江中医药大学科研基金项目(2019MS27)~~

发布时间:

2021-04-19

出版时间:

2021-04-19

网络发布时间:

2021-04-19

引用

GB/T 7714-2015 格式引文
MLA格式引文
APA格式引文