局部针刺治疗抽动障碍疗效观察

目的:观察以局部针刺治疗运动抽动为主的抽动障碍(TD)的临床疗效。方法:194例患者随机分为针刺组(114例)、西药组(82例)。针刺组以局部针刺治疗,西药组口服硫必利片。采用耶鲁抽动障碍整体严重程度量表(YGTSS)进行评分,判定其临床疗效。结果:两组患者治疗后YGTSS运动抽动评分明显改善;针刺组与西药组显效率分别为90.4%和84.2%(P0.05),差异无统计学意义;针刺组与西药组治疗短暂性抽动(TTD)的有效率分别为100.0%、83.3%(P0.05),针刺治疗TTD的疗效优于药物治疗;针刺组3种不同类型的TD疗效分别为100.0%、88.2%、84.2%,针刺治疗TTD疗效优于慢性多发性抽动(CTD)及抽动综合征(TS)(均P0.05)。结论:针刺与药物治疗TD的总体疗效相当,但针刺治疗TTD的临床疗效优于药物治疗,针刺治疗TTD的疗效也优于针刺治疗CTD及TS的疗效,说明及早干预治疗效果理想,有可能防止病情发展为CTD或TS。

Clinical study for motor tic of tic disorders treated mainly with acupuncture circum-eyelid point.

Abstract：Objective: To investigate the clinical efficiency of acupuncture at circum-eyelid point for treating tic disorder(TD) manifestation with motor tic. Methods: a retrospective study have been made, 196 cases of tic disorder were allocated into two groups. There were 114 cases in test group, treated mainly with acupuncture penetrating circum-eyelid point and 0.1% sodium hyaluronate eye drops. 82 cases were in the control group, treated mainly with tiapride hydrochloride tablete and 0.1% sodium hyaluronate eye drops, Comparison of the clinical therapeutic effects of these 2 groups was made. using YGTSS to evaluate its clinical effectiveness. Results: (1) The test group treating with acupuncture are average (5.43±1.18) times, two groups have significantly improved after treatment in YGTSS scale;(2) the overall effectiveness of the test group was 90.4%, and that of the control group was 84.2%(χ2=3.369,P =0.186>0.05), showing no statistical difference; (3) in test group, the effectiveness in types of TTD was 100%, and that of control group was 83.3%(χ2=6.275,P=0.043<0.05), showing statistical difference. but in other types of TD, showing no statistical difference; (4) in test group, the effectiveness of 3 types of TD were 100%, 88.2%, 84.2%, respectively (χ2=10.265,P=0.036<0.05), showing statistical difference. but in control group, showing no significant difference. Conclusion: The effectiveness of TD treating with acupuncture is assimilated with drug of tiapride, but it is better than drug of tiapride in type of TTD; and also, the effectiveness in type of TTD by acupuncture is better than CTD and TS. It’s shows early intervention be possibly prevented the progression of the disease for the CTD, or TS.