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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
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