[1]王一鸣,童一川.中西医结合治疗小儿多动症痰热型56例临床观察[J].中医儿科杂志,2019,15(03):55-57.[doi:10.16840/j.issn1673-4297.2019.03.18]
 WANG Yiming,TONG Yichuan.Clinical observation on 56 cases of pediatric attention deficit hyperactivity disorder with phlegm heat type treated by combined traditional Chinese and Western medicine[J].Journal of Pediatrics of Traditional Chinese Medicine,2019,15(03):55-57.[doi:10.16840/j.issn1673-4297.2019.03.18]
点击复制

中西医结合治疗小儿多动症痰热型56例临床观察
分享到:

《中医儿科杂志》[ISSN:/CN:62-1176/R]

卷:
15
期数:
2019年03期
页码:
55-57
栏目:
临床研究与报道
出版日期:
2019-05-25

文章信息/Info

Title:
Clinical observation on 56 cases of pediatric attention deficit hyperactivity disorder with phlegm heat type treated by combined traditional Chinese and Western medicine
作者:
王一鸣 童一川
嵊州市妇幼保健院儿科, 浙江 嵊州 312400
Author(s):
WANG Yiming TONG Yichuan
Department of Pediatrics, Shengzhou Maternal and Child Health Hospital, Shengzhou, Zhejiang, 312400, China
关键词:
多动症小儿痰热型自拟镇心汤临床观察
Keywords:
attention deficit hyperactivity disorder (ADHD)childrenphlegm heat typeself-made Zhenxin Tang (自拟镇心汤)clinical observation
分类号:
R749.94
DOI:
10.16840/j.issn1673-4297.2019.03.18
摘要:
目的 观察自拟镇心汤联合西药治疗小儿多动症痰热型的临床疗效。方法 选取2015年1月至2017年10月于嵊州市妇幼保健院儿科接受治疗的多动症痰热型患儿112例,按照随机数字表法分为对照组和治疗组,各56例。对照组予利他林片口服治疗,治疗组在对照组治疗方法的基础上予自拟镇心汤口服治疗,均治疗8周后,比较2组的临床疗效、斯诺佩评估量表(SNAP-IV)、康纳尔父母量表(Conners)积分情况以及不良反应发生情况。结果 治疗组总有效率为89.29%,明显高于对照组的69.64%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组SNAP-IV、Conners量表积分比较,差异均无统计学意义(P>0.05),具有可比性。治疗后,在症状积分和多动指数方面,2组均较同组治疗前明显改善,差异均有统计学意义(P<0.05),且治疗组改善更显著(P<0.05)。对照组总不良反应发生率为7.14%,治疗组为3.57%,2组比较,差异无统计学意义(P>0.05)。结论 自拟镇心汤联合西药治疗小儿多动症痰热型的临床疗效确切,且用药安全,值得临床推广应用。
Abstract:
Objective To observe the clinical efficacy of self-made Zhenxin Tang (镇心汤)combined with Western medicine in the treatment of pediatric attention deficit hyperactivity disorder (ADHD) with phlegm heat type.Method Totally 112 cases of ADHD with phlegm heat admitted to department of pediatrics of Shengzhou Maternal and Child Health Hospital from January 2015 to October 2017 were divided into control group and treatment group according to random number table method,with 56 cases in each.The control group was given oral ritalin tablets,while the treatment group was given self-made Zhenxin Tang orally on the basis of the control group.After both groups were treated for 8 weeks,the clinical efficacy, the scores of Swanson,Nolan and Pelham Questionnaire,Version IV (SNAP-IV) Rating scale-parent form and Conners Parent Symptom Questionaire (PSQ) and the incidence of adverse reactions were compared.Results The total effective rate of the treatment group was 89.29%,which was significantly higher than 69.64% of the control group,there was statistically significant difference between the two groups (P<0.05). Before treatment,the difference was not statistically significant in the scores between the SNAP-IV rating scale and Conners scale (P>0.05),and they were comparable.After treatment,the symptom scores and hyperactivity index of the two groups all improved significantly compared with the same group before treatment, and the difference were statistically significant (P<0.05),moreover,the treatment group improved more significantly (P<0.05).The total adverse reactions rate of the control group was 7.14%,that of the treatment group was 3.57%,but there was no statistically significant difference between the two groups (P>0.05).Conclusion Self-made Zhenxin Tang combined with Western medicine has a definite clinical efficacy on pediatric ADHD with phlegm heat type,and is safe to use,which is worthy of clinical promotion and application.

参考文献/References:

[1] 梁友芳.儿童注意缺陷多动障碍病因研究进展[J].广西医科大学学报,2017,34(5):781-784.
[2] 常克.儿童多动症中医认识与病因病机进展[J].中国中西医结合儿科学,2016,8(5):468-469.
[3] 《中华儿科杂志》编辑委员会.儿童注意缺陷多动障碍诊疗建议[J].中华儿科杂志,2006,44(10):758-759.
[4] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:236-237.
[5] 肖冬素.小儿多动症发病表现与治疗措施[J].医药卫生:英文版,2016,14(6):58.
[6] 屈小艳.盐酸哌甲酯控释片及静灵口服液治疗小儿多动症临床效果及安全性研究[J].中国现代医生,2016,54(26):94-96.

相似文献/References:

[1]辛晶.刘振寰教授治疗小儿屏气发作经验[J].中医儿科杂志,2015,(04):3.
 XIN Jing.Professor LIU Zhenhuan’s experience in treating infantile breath holding spell[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):3.
[2]潘馨,邵梦洁.穴位敷贴防治小儿感染后气道高反应咳嗽110例临床观察[J].中医儿科杂志,2015,(04):16.
 PAN Xin,SHAO Mengjie.Clinical observation of acupoint sticking in the treatment of 110 cases of children airway hyper reactivity cough after infection[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):16.
[3]谢敏,吕旭艳.黄芪颗粒治疗小儿反复呼吸道感染(营卫失和型)65例临床疗效分析[J].中医儿科杂志,2015,(04):20.
 XIE Min,LUE Xuyan.Clinical efficacy of Astragalus Particles in treating children recurrent respiratory tract infection of ying-wei disharmony type[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):20.
[4]江春燕,李成国,姚伟光.葶苈大枣泻肺汤加味外敷治疗小儿痰湿咳嗽200例临床观察[J].中医儿科杂志,2015,(04):28.
 JIANG Chunyan,LI Chengguo,YAO Weiguang.Clinical observation of external application of modified Tingli Dazao Xiefei Tang in the treatment of 200 cases of children with phlegm damp cough[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):28.
[5]汪永峰.中西医结合治疗小儿手足口病54例临床观察[J].中医儿科杂志,2015,(04):44.
 WANG Yongfeng.Clinical observation of integrated western and TCM medicine in treating 54 cases of children hand-foot-mouth disease[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):44.
[6]荣志云,张源,丛丽.小儿积滞发病的相关因素调查[J].中医儿科杂志,2015,(04):47.
 Rongzhiyun,Zhangyuan,Cong Li.Investigation on related factors of the pathogenesis of infantile dyspepsia[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):47.
[7]王良军.中西医结合治疗小儿幽门螺杆菌相关性胃炎73例临床观察[J].中医儿科杂志,2015,(04):53.
 WANG Liangjun.Clinical observation of TCM combined with western medicines in treating 73 cases of children Hp-associated gastritis[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):53.
[8]张梦桃,张映芬,李玉秀,等.脑瘫患儿睡眠障碍的护理[J].中医儿科杂志,2015,(04):70.
 ZHANG Mengtao,ZHANG Yingfen,LI Yuxiu,et al.Nursing care on sleep disorders of children with cerebral palsy[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):70.
[9]邬颖菲.苍苓止泻口服液辅助治疗小儿脾虚泻的临床疗效及护理措施[J].中医儿科杂志,2015,(04):73.
 WU Yingfei.Clinical efficacy and nursing care in the adjuvant treatment of spleen deficiency diarrhea in children with Cangling Zhixie Koufuye[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):73.
[10]张春玲.倪晓红主任医师论治小儿疳积经验[J].中医儿科杂志,2015,(02):10.
 ZHANG Chunling.Chief physician NI Xiaohong’s experience on the treatment of infantile malnutrition[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):10.

备注/Memo

备注/Memo:
作者简介:王一鸣(1974-),女,主治医师,医学学士,主要从事儿科疾病的临床诊疗工作。
更新日期/Last Update: 1900-01-01