[1]张燕敏,李亚平.儿童注意缺陷多动障碍的中医研究进展与展望[J].中医儿科杂志,2019,15(03):86-89.[doi:10.16840/j.issn1673-4297.2019.03.27]
 ZHANG Yanmin,LI Yaping.Progress and prospects of TCM research on children with attention deficit hyperactivity disorder[J].Journal of Pediatrics of Traditional Chinese Medicine,2019,15(03):86-89.[doi:10.16840/j.issn1673-4297.2019.03.27]
点击复制

儿童注意缺陷多动障碍的中医研究进展与展望
分享到:

《中医儿科杂志》[ISSN:/CN:62-1176/R]

卷:
15
期数:
2019年03期
页码:
86-89
栏目:
文献综述
出版日期:
2019-05-25

文章信息/Info

Title:
Progress and prospects of TCM research on children with attention deficit hyperactivity disorder
作者:
张燕敏1 李亚平2
1. 天津中医药大学研究生院, 天津 300193;
2. 天津中医药大学第一附属医院儿科, 天津 300193
Author(s):
ZHANG Yanmin1 LI Yaping2
1. School of Postgraduate, Tianjin University of TCM, Tianjin, 300193, China;
2. Department of Pediatrics, the First Affiliated Hospital of Tianjin University of TCM, 300193, China
关键词:
注意缺陷多动障碍儿童中医治疗综述
Keywords:
attention deficit hyperactivity disorder (ADHD)childrentraditional Chinese medicine treatmentsummary
分类号:
R749.94
DOI:
10.16840/j.issn1673-4297.2019.03.27
摘要:
中医学认为注意缺陷多动障碍(ADHD)的诊断应以脏腑、阴阳辨证为纲,其病位主要责之于心、肝、脾、肾,病机关键在于脏腑功能失常及阴阳平衡失调,故治疗上应以调和阴阳为基本法则。临床上通过益肾填精、滋肾平肝、健脾养心,佐以清热、化痰、祛瘀等方法治疗ADHD获得了肯定疗效。但由于缺乏大样本、多中心、随机化的临床科研设计,且各项临床观察所采用的疾病诊断标准和观察指标存在差异等原因,部分临床报道的证据级别不高。
Abstract:
Chinese medicine believes that the diagnosis of attention deficit hyperactivity disorder (ADHD) should be based on the syndrome differentiation of viscera as well as yin and yang,and its location mainly lies in the heart,liver,spleen and kidney.The key to the pathogenesis lies in the dysfunction of viscera and the imbalance of yin and yang.Therefore, the treatment should be based on the principle of harmonizing yin and yang.Clinically it has acquired positive curative effect to treat ADHD by the therapeutic methods of tonifying the kidney and replenishing essence,nourishing the kidney and subduing hyperactivity of the liver,invigorating the spleen and nourishing the heart,accompanied by reducing fever,resolving phlegm and removing blood stasis.Due to the lack of large sample,multi-center,randomized clinical scientific research design,and the differences in disease diagnostic criteria and observation indicators used in various clinical observations,the evidence level of some clinical reports is not high.

参考文献/References:

[1] 郑毅,刘靖.中国注意缺陷多动障碍防治指南[M].2版.北京:中华医学电子音像出版社,2015:1-2.
[2] American Psychiatric Association:Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition(DSM-5)[M].Arlington,VA:American Psychiatric Association, 2013:61-63.
[3] 李福轮,谢晴牧,赵乾龙,等.中国儿童注意缺陷多动障碍患病率的Meta分析[J].临床荟萃,2017,32(12):1079-1083.
[4] 马融,张喜莲.髓海发育迟缓致儿童注意缺陷多动障碍病机假说探讨[J].中华中医药杂志,2008,23(8):737-739.
[5] 李亚平,马融,魏小维,等.儿童注意缺陷多动障碍的"肾系"病机研究[J].中医儿科杂志,2012,8(5):36-39.
[6] 李亚平,马融,魏小维,等.儿童注意缺陷多动障碍的中医辨证研究[J].辽宁中医杂志,2013,40(4):710-713.
[7] 孙继超,韩新民,郭玉清,等.270例儿童多动症中医证型分布及演变规律探讨[J].辽宁中医杂志,2016,43(5):908-910.
[8] 韩新民.儿童多动症实证治心肝、虚证调脾肾[J].中国中西医结合儿科学,2014,6(3):202-203.
[9] 丁惠玲,景晓平,王霞芳.泻心宁神汤治疗儿童多动症(心肝火旺型)临床观察[J].辽宁中医杂志,2013,40(10):2040-2042.
[10] 张帆,顾明达,朱盛国,等. 静意方治疗注意缺陷多动障碍儿童99例临床观察[J].中医杂志,2013,54(8):673-676.
[11] 李亚平,马融,魏小维.益智宁神颗粒治疗儿童多动症"肾阴不足肝阳偏旺"证的临床分析[J].天津中医药,2004,21(5):374-376.
[12] 武金霞,武婷婷,高桂香,等.小儿黄龙颗粒联合哌甲酯治疗儿童注意缺陷多动障碍的临床研究[J].现代药物与临床,2018,33(5):1198-1202.
[13] 刘华,欧阳学认,沈凌,等.中药益智宁治疗儿童注意缺陷多动障碍的临床研究[J].广州中医药大学学报,2018,35(4):628-632.
[14] 丁一芸,王雅璇,周义山,等.静宁颗粒联合脑电生物反馈治疗注意力缺陷多动障碍患儿的临床效果[J].世界中医药,2018,13(3):640-643,647.
[15] 刘应科,任昕昕,方琼杰,等.静宁颗粒治疗56例小儿多动症气阴两虚证临床观察[J]. 湖南中医药大学学报,2016,36(4):49-52.
[16] 黄斌,黄浩.多动宁胶囊治疗儿童注意缺陷多动障碍综合征的临床研究[J].中医儿科杂志,2013,9(3):16-17.
[17] 沈惠娟,韩新民,江凯华,等.静灵口服液治疗儿童注意缺陷多动障碍肝肾阴虚证33例疗效观察[J].中医儿科杂志,2017,13(6):26-30.
[18] 唐其民,涂一世.补脾益肾颗粒联合脑电生物反馈治疗注意力障碍型儿童注意缺陷多动症[J].长春中医药大学学报,2016,32(6):1235-1238.
[19] 李一民.小儿智力糖浆对注意缺陷多动障碍患儿的疗效观察[J].中国妇幼保健,2012,27(28):4481-4483.
[20] 向二英.小儿智力糖浆治疗儿童多动症45例临床观察[J].临床合理用药,2013,6(5):56-57.
[21] 向魏坪,姚玲.盐酸哌甲酯控释片联合小儿智力糖浆治疗儿童多动症的临床效果及安全性[J].中国妇幼保健,2017,32(12):2637-2640.
[22] 李亚平,马融,胡思源, 等.小儿智力糖浆治疗儿童注意缺陷多动障碍36例临床研究[J].中医杂志,2015,56(20):1750-1754.
[23] 史建钢.补肾健脑胶囊治疗儿童多动症200例临床观察[J].中医儿科杂志,2012,8(5):50-51.

相似文献/References:

[1]路新强.中药保留灌肠联合序贯腹膜透析治疗儿童急性肾衰竭临床疗效观察[J].中医儿科杂志,2015,(04):58.
 LU Xinqiang.Clinical efficacy of TCM retention enema and sequential peritoneal dialysis on children with acute renal failure[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):58.
[2]朱大鹏.中西医治疗儿童腺样体肥大研究进展[J].中医儿科杂志,2015,(04):82.
 ZHU Dapeng.Research progress in treating infantile adenoidal hypertrophy with integrated western medicine and TCM[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):82.
[3]刘璐,叶芹,姚力.麻杏石甘汤联合小儿清热宣肺贴膏治疗急性支气管炎99例疗效观察[J].中医儿科杂志,2015,(02):19.
 LIU Lu,YE Qin,YAO Li.Curative effect analysis of Maxingshigan Decoction combined with Xiaoer Qingre Xuanfei Emplastrum treating 99 cases of acute bronchitis[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):19.
[4]张美菁,张喜莲,马融.银翘散在儿科临床中的应用及相关免疫炎症机制研究进展[J].中医儿科杂志,2015,(02):75.
 ZHANG Meijing,ZHANG Xilian,MA Rong.Application of Yinqiao Powder in pediatrics and progress of the related immune inflammation mechanisms[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):75.
[5]刘晔婷,曹志宏,熊光明,等.苏黄止咳胶囊治疗儿童感冒后咳嗽50例疗效观察[J].中医儿科杂志,2015,(01):26.
 LIU Yeting,CAO Zhihong,XIONG Guangming,et al.Effect observation of Suhuang Zhike Jiaonang in treating 50 cases of pediatric cough after cold[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):26.
[6]李卉.参附注射液在儿科临床应用举隅[J].中医儿科杂志,2015,(01):38.
 LI Hui.Shenfu Injection applied in the pediatric clinic[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):38.
[7]王忠民,王明闯,徐慧祥.易感颗粒治疗小儿反复呼吸道感染(发作期)临床研究[J].中医儿科杂志,2015,(03):8.
 WANG Zhongmin,WANG Mingchuang,XU Huixiang.The clinical effect of Yigan Keli in the treatment of recurrent respiratory tract infection of children (attack stage)[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):8.
[8]何秀娇.宁血汤佐治重度儿童原发性免疫性血小板减少症25例疗效观察[J].中医儿科杂志,2015,(03):37.
 HE Xiujiao.Clinical analysis of Ningxue Tang as combination therapy for severe primary immune thrombocytopenia in children[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):37.
[9]刘娟,梅向阳.理气暖胃止痛贴外敷治疗儿童功能性腹痛30例临床观察[J].中医儿科杂志,2015,(03):44.
 LIU Juan,MEI Xiangyang.Clinical efficacy of regulating qi warming stomach and relieving pain external pasting in the treatment of 30 cases of infantile functional abdominal pain[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):44.
[10]庞高峰,范桂红,朱迪卿,等.孟鲁司特钠联合平喘止咳贴治疗儿童咳嗽变异性哮喘60例疗效观察[J].中医儿科杂志,2015,(05):23.
 PANG Gaofeng,FAN Guihong,ZHU Diqing,et al.Observation of clinical effectiveness of Montelukast combined with Pingchuan Zhike Tie in the treatment of 60 children with cough variant asthma (CVA)[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):23.
[11]沈惠娟,韩新民,江凯华,等.静灵口服液治疗儿童注意缺陷多动障碍肝肾阴虚证33例疗效观察[J].中医儿科杂志,2017,(06):26.[doi:10.16840/j.issn1673-4297.2017.06.08]
 SHEN Huijuan,HAN Xinmin,JIANG Kaihua,et al.Clinical observation on 33 cases of children with attention deficit hyperactivity disorder (liver-kidney yin deficiency syndrome) treated with Jingling Oral Liquid[J].Journal of Pediatrics of Traditional Chinese Medicine,2017,(03):26.[doi:10.16840/j.issn1673-4297.2017.06.08]

备注/Memo

备注/Memo:
基金项目:天津中医药大学第一附属医院新医疗新技术开发专项课题(2016014);国家重点研发计划项目(2016YFC1306100)。
作者简介:张燕敏(1992-),女,在读硕士研究生。研究方向:儿童注意缺陷多动障碍、抽动障碍等儿童精神心理卫生疾病。
通信作者:李亚平(1974-),女,副主任医师,医学硕士。研究方向:儿童注意缺陷多动障碍、抽动障碍等儿童精神心理卫生疾病。E-mail:zf_ts@163.com
更新日期/Last Update: 1900-01-01