中华妇幼临床医学杂志（电子版）
中華婦幼臨床醫學雜誌（電子版）
중화부유림상의학잡지（전자판）
CHINESE JOURNAL OF OBSTETRICS & GYNECOLOGY AND PEDIATRICS(ELECTRONIC VERSION)
2014年
6期
742-744
,共3页
物理疗法%儿童抽动性运动障碍%治疗结果
物理療法%兒童抽動性運動障礙%治療結果
물리요법%인동추동성운동장애%치료결과
Physical therapy%Tic disorders,childhood%Treatment outcome
目的：探讨综合性物理疗法治疗儿童抽动症的临床效果。方法回顾性分析荆州市妇幼保健院2011年4月至2014年4月收治的124例抽动症患儿的临床资料。根据治疗方式的不同将其分为观察组(n=64,采用经颅磁治疗仪联合小脑刺激仪及磁珠贴耳穴的综合性物理疗法治疗),对照组(n=60,采用单纯药物治疗),运用统计学方法分析接受不同疗法治疗儿童抽动症的临床效果。本研究遵循的程序符合荆州市妇幼保健院人体试验委员会所制定的伦理学标准,得到该委员会批准,分组征得受试对象本人的知情同意,并与之签署临床研究知情同意书。两组患儿的年龄、性别、病程和疾病类型等比较,差异无统计学意义(P >0.05)。结果观察组临床治疗有效率为96.9%(62/64),显著高于对照组85.0%(51/60)；观察组治疗后耶鲁综合抽动严重程度量表(YGTSS)评分为(28.0±11.7)分,临床疗效总评量表(CGI)评分为(2.5±0.5)分,均显著低于对照组的(36.8±12.3)分与(3.1±0.6)分,并且差异均有统计学意义(P <0.05)。结论经颅磁治疗仪联合小脑刺激仪及磁珠贴耳穴综合性物理疗法,可明显改善儿童抽动症患儿的临床症状,提高临床疗效。
目的：探討綜閤性物理療法治療兒童抽動癥的臨床效果。方法迴顧性分析荊州市婦幼保健院2011年4月至2014年4月收治的124例抽動癥患兒的臨床資料。根據治療方式的不同將其分為觀察組(n=64,採用經顱磁治療儀聯閤小腦刺激儀及磁珠貼耳穴的綜閤性物理療法治療),對照組(n=60,採用單純藥物治療),運用統計學方法分析接受不同療法治療兒童抽動癥的臨床效果。本研究遵循的程序符閤荊州市婦幼保健院人體試驗委員會所製定的倫理學標準,得到該委員會批準,分組徵得受試對象本人的知情同意,併與之籤署臨床研究知情同意書。兩組患兒的年齡、性彆、病程和疾病類型等比較,差異無統計學意義(P >0.05)。結果觀察組臨床治療有效率為96.9%(62/64),顯著高于對照組85.0%(51/60)；觀察組治療後耶魯綜閤抽動嚴重程度量錶(YGTSS)評分為(28.0±11.7)分,臨床療效總評量錶(CGI)評分為(2.5±0.5)分,均顯著低于對照組的(36.8±12.3)分與(3.1±0.6)分,併且差異均有統計學意義(P <0.05)。結論經顱磁治療儀聯閤小腦刺激儀及磁珠貼耳穴綜閤性物理療法,可明顯改善兒童抽動癥患兒的臨床癥狀,提高臨床療效。
목적：탐토종합성물리요법치료인동추동증적림상효과。방법회고성분석형주시부유보건원2011년4월지2014년4월수치적124례추동증환인적림상자료。근거치료방식적불동장기분위관찰조(n=64,채용경로자치료의연합소뇌자격의급자주첩이혈적종합성물리요법치료),대조조(n=60,채용단순약물치료),운용통계학방법분석접수불동요법치료인동추동증적림상효과。본연구준순적정서부합형주시부유보건원인체시험위원회소제정적윤리학표준,득도해위원회비준,분조정득수시대상본인적지정동의,병여지첨서림상연구지정동의서。량조환인적년령、성별、병정화질병류형등비교,차이무통계학의의(P >0.05)。결과관찰조림상치료유효솔위96.9%(62/64),현저고우대조조85.0%(51/60)；관찰조치료후야로종합추동엄중정도량표(YGTSS)평분위(28.0±11.7)분,림상료효총평량표(CGI)평분위(2.5±0.5)분,균현저저우대조조적(36.8±12.3)분여(3.1±0.6)분,병차차이균유통계학의의(P <0.05)。결론경로자치료의연합소뇌자격의급자주첩이혈종합성물리요법,가명현개선인동추동증환인적림상증상,제고림상료효。
Objective To study the clinical curative effects of comprehensive physical therapy for children with tic disorders.Methods From April 201 1 to April 2014,the clinical data of 124 children with tic disorders who were treated in Jingzhou Maternity and Children Health Care Hospital were chosen in this study and retrospectively analyzed.According to different treatment strategies,they were divided into two groups.Children in treatment group (n = 64)were treated by comprehensive physical therapy-transcranial magnetic stimulator therapeutic apparatus combined with cerebellar and magnetic beads stick system,and control group (n = 60 )were treated by rule drug treatment.Statistical analysis methods were used to compare the clinical curative effects between two group.The study protocol was approved by the Ethical Review Board of Invetigation in Jingzhou Maternity and Children Health Care Hospital.Informed consent was obtained from the guardians of all patients.There were no statistically significant differences on the age,gender,course and types of diseases,etc.between two groups (P > 0.05 ).Results The clinical effective rates of treatment group (96.9%,62/64 )was significantly higher than that of control group (85.0%,5 1/60).After the treatment,Yale Global Tic Severity Scale (YGTSS)score of treatment group was (28.0±1 1.7)score,and it was significantly lower than that of control group [(36.8 ±12.3)score]. Clinical Global Impression (CGI)score of treatment group [(2.5±0.5)score]was also significantly lower than that of control group [(3.1 ±0.6)score].Both of the differences were statistically significant (P <0.05).Conclusion Comprehensive physical therapy-transcranial magnetic stimulator therapeutic apparatus combined with cerebellar and magnetic beads stick system can significantly improve the clinical symptoms in children with tic disorders and improve the clinical curative effect.
