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中华妇幼临床医学杂志(电子版)

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2014, Vol. 10 ›› Issue (06): 742 -744. doi: 10.3877/cma.j.issn.1673-5250.2014.06.009

Special Issue: ；

Original Article

Clinical Research of Comprehensive Physical Therapy for Children With Tic Disorders

Ping Ding1(), Yufeng Zhang1, Tiantian Wang1   

  1. 1. Department of Child Healthcare, Jingzhou Maternity and Children Health Care Hospital, Jingzhou 434020, Hubei Province, China
  • Received:2014-07-30 Revised:2014-11-04 Published:2014-12-01
  • Corresponding author: Ping Ding
  • About author:
    (Corresponding author : Ding Ping, Email : )
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Objective

To study the clinical curative effects of comprehensive physical therapy for children with tic disorders.

Methods

From April 2011 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% , 51/60). After the treatment, Yale Global Tic Severity Scale (YGTSS) score of treatment group was (28.0± 11.7) 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.

Key words: Physical therapy, Tic disorders, childhood, Treatment outcome
表1 两组接受不同方案治疗后临床治疗有效率比较[n(%)]
Table 1 Comparison of treatment efficiency rates between two groups after treatment by different strategies [n( % )]
组别 例数 有效率 显效率 痊愈率 总有效率
观察组 64 6(9.4) 27(42.2) 29(45.3) 62(96.9)
对照组 60 5(8.3) 24(40.0) 22(36.7) 51(85.0)
χ2值 -— — 5.40
P值 — — — <0.05
表2 两组治疗前与治疗后YGTSS评分比较（分，±s）
Table 2 Comparison of YGTSS scores between two groups before and after the treatment by different strategies [score,±s]
组别 例数 治疗前 治疗后
观察组 64 56.1±7.9 28.0±11.7
对照组 60 56.0±7.7 36.8±12.3
t值 0.07 4.09
P值 >0.05 <0.01
表3 两组治疗前与治疗后CGI评分比较（分，±s）
Table 3 Comparison of CGI scores between two groups before and after treatment by different strategies [ score, ±s]
组别 例数 治疗前 治疗后
观察组 64 5.0±0.7 2.5±0.5
对照组 60 4.9±0.6 3.1±0.6
t值 0.85 6.06
P值 >0.05 <0.01
[1]
张荣武，郭燕.感觉统合训练结合心理干预治疗儿童抽动症[J].中国医药导报，2010，7(33)：167–168.
[2]
施小成，王正心，蒋丽萍，等.针药并用治疗儿童抽动症疗效观察[J].上海针灸杂志，2012，31 (7)：512–514.
[3]
中华医学会精神科学会，南京医科大学脑科医院.中国精神疾病分类方案与诊断标准(CCMD-2-R)[M].南京：东南大学出版社，1995，236–278.
[4]
钟佑泉，吴惧，谢晓丽，等.耶鲁抽动症整体严重度量表对抽动障碍患儿的临床评估[J].中国实用儿科杂志，2006，21(3)：214–216.
[5]
徐桂凤，静进，麦坚凝，等.抽动症儿童在绘人测验上的反应特征研究[J].中华行为医学与脑科学杂志，2011，20(5)：437–438.
[6]
刘永翼，郑毅，韩书文，等.北京市大兴区学龄儿童抽动障碍相关危险因素的病例对照研究[J].中国心理卫生杂志，2010，24(1)：47–50, 58．
[7]
温晓梅，王红怡，杨健，等.儿童多发性抽动症相关因素问卷调查分析[J].海南医学，2011，(19)：124–125.
[8]
乐凯，刘玲，孙曼莉，等.重复经颅磁刺激治疗儿童多发性抽动症疗效观察[J].中华物理医学与康复杂志，2012，34(5)：365–368.
[9]
马岭，张毅力，蔡婧，等.脑电生物反馈治疗抽动障碍的临床疗效观察[J].中华行为医学与脑科学杂志，2013，22(5)：403–405.
[10]
王正，王素云．磁珠耳穴贴治疗儿童抽动症的临床探讨[C] 2005香港国际耳穴诊治及美容保健研讨会论文集，77-80.
[11]
王燕，闫国霞，李晶，等.耳穴贴压抽动穴为主治疗儿童多发性抽动症86例[J].中国针灸，2013，33(9)：802–804.
[12]
罗永成.中西医结合治疗儿童抽动秽语症的临床体会[J].甘肃科技, 2012, 28(10) :134–135.
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