基于"平衡因果论"正骨联合针刺治疗颈源性儿童抽动障碍的疗效观察OA
Observation on the Therapeutic Effect of Bone-setting Combined with Acupuncture Based on the"Balanced Causality Theory"in Treating Cervical-origin Tic Disorders in Children
目的:基于"平衡因果论"观察正骨联合针刺治疗颈源性儿童抽动障碍的临床疗效.方法:将68例确诊为抽动障碍合并寰枢关节错位的患儿随机分为观察组和对照组,研究期间脱落6例,最终纳入62例(观察组30例,对照组32例).观察组采用正骨联合针刺治疗,对照组采用口服氟哌啶醇联合颈椎牵引治疗,均每日1次,7日为1个疗程,共治疗3个疗程.治疗前后分别评估耶鲁综合抽动严重程度量表(YGTSS)评分,并测量寰齿侧间距差值(LADI)及寰齿前间隙(AADI).结果:观察组总有效率为93.33%,显著高于对照组的78.13%(P<0.05).治疗后,两组患者YGTSS评分、LADI及AADI均较治疗前显著降低(P<0.05);且观察组治疗后运动性抽动评分(7.53±1.68分)、发声性抽动评分(3.90±1.27分)、YGTSS总评分(12.67±2.86分)、LADI(0.92±0.09 mm)及AADI(2.15±0.29 mm)均显著低于对照组(P<0.05).安全性方面,观察组不良反应发生率为3.33%,显著低于对照组的25.00%(P<0.05).结论:"平衡因果论"指导下的正骨联合针刺疗法能有效纠正寰枢关节结构异常,显著改善儿童抽动症状,且安全性较高,为颈源性儿童抽动障碍的中医治疗提供了可行的临床方案.
Objective:To observe the clinical efficacy of bone-setting combined with acupuncture based on the"Balanced Causality Theory"in treating cervical-origin tic disorders in children.Methods:Sixty-eight children diagnosed with tic disorders complicated with atlantoaxial joint malposition were randomly divided into an observation group and a control group.Six cases dropped out during the study,and 62 cases were finally included(30 in the observation group and 32 in the control group).The observation group received bone-setting combined with acupuncture,while the control group received oral haloperidol combined with cervical traction,once daily,7 days as a course,for a total of 3 courses.The Yale Global Tic Severity Scale(YGTSS)scores,the difference in lateral atlanto-dental interval(LADI),and the anterior atlanto-dental interval(AADI)were assessed before and after treatment.Results:The total effective rate of the observation group was 93.33%,which was significantly higher than 78.13%that of the control group(P<0.05).After treatment,YGTSS scores,LADI,and AADI decreased significantly in both groups compared with pre-treatment(P<0.05).Moreover,the observation group showed significantly lower post-treatment scores for motor tics(7.53±1.68),phonic tics(3.90±1.27),total YGTSS score(12.67±2.86),LADI(0.92±0.09 mm),and AADI(2.15±0.29 mm)than the control group(P<0.05).Regarding safety,the incidence of adverse reactions in the observation group 3.33%,which was significantly lower than 25.00%that in the control group(P<0.05).Conclusion:Under the guidance of the"Balanced Causality Theory",the combination of bone-setting and acupuncture effectively corrects structural abnormalities of the atlantoaxial joint,significantly alleviates tic symptoms in children,and demonstrates a high safety profile.It provides a feasible clinical protocol for the traditional Chinese medicine treatment of cervical-origin tic disorders.
马冉;杜锐;林朝阳;涂伟;杜凌哲
襄阳职业技术大学,湖北 襄阳 441050襄阳正康中医医院,湖北 襄阳 441000襄阳职业技术大学,湖北 襄阳 441050襄阳正康中医医院,湖北 襄阳 441000襄阳正康中医医院,湖北 襄阳 441000
医药卫生
平衡因果论抽动障碍寰枢关节错位肌梭基底神经节
balanced causality theorytic disorderatlantoaxial joint malpositionmuscle shuttlebasal ganglion
《中医康复》 2026 (9)
45-51,7
襄阳市科技局医疗卫生领域重点项目(2022BBS005185)
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