行为疗法、针灸疗法结合专注达治疗儿童多动症疗效及安全性观察

江汉大学学报（自然科学版） ›› 2012, Vol. 40 ›› Issue (3): 93-96.

行为疗法、针灸疗法结合专注达治疗儿童多动症疗效及安全性观察

陈玥¹，朱德新¹，杨路²

1.解放军第421医院儿科，广东广州510318；
2.南方医科大学中医药学院，广东广州510515

出版日期:2012-06-20 发布日期:2013-11-07

Observation of Validity and Safety of Behavior Therapy, Acupuncture Therapy Combined with Methylphenidate in Treatment of Attention Deficit Hyperactivity Disorder

CHEN Yue¹,ZHU De-xin¹,YANG Lu²

1. Department of Pediatrics,421th Hospital of PLA,Guangzhou 510318,Guangdong,China;
2. College of Chinese Medicine,Southern Medical University,Guangzhou 510515,Guangdong,China

Online:2012-06-20 Published:2013-11-07

摘要/Abstract

摘要： 目的寻找治疗儿童多动症(ADHD)有效且不良反应少的治疗方案。方法根据纳入和排除标准纳入120例ADHD患儿，随机分为A、B、C3组，每组40例;A组接受药物治疗配合心理行为治疗，B组接受药物治疗配合针灸治疗，C组接受单纯药物治疗;比较3组临床疗效、Conners多动指数治疗前后变化以及药物不良反应等指标。结果3组患儿治疗前后临床疗效比较差异有统计学意义，两两比较发现，A组与C组临床疗效差异有统计学意义;3组患儿治疗前后CIH评分经配对t检验比较差异有统计学意义;治疗后CIH3组间比较差异有统计学意义，两两比较显示C组与A组、B组差异有统计学意义;经观察发现3组患儿均出现药物不良反应，其中，B组较A组、C组出现的药物不良反应少。结论3种治疗方案均能显著改善多动症患儿的症状，且行为治疗增强专注达临床疗效的效果明显，而针灸治疗减少专注达不良反应效果明显，可将行为治疗、针灸疗法与药物治疗结合使用，以提高治疗方案的有效性及安全性。

关键词: 注意缺陷多动障碍, 盐酸哌甲酯, 行为疗法, 针灸疗法

Abstract: ObjectiveIn search of effective and less side－effective treatment protocols of deficient hyperactivity disorder (ADHD). Methods120 children met the inclusive and exclusive criterion were randomized into 3 groups40 cases in Group A with medications combined with behavior therapy, 40 cases in Group B with medications combined with acupuncture therapy and 40 cases in Group C with medications alone. The outcomes of clinical efficacy, Conners index of hyperactivity (CIH) and adverse drug reaction among the three groups were compared respectively. ResultsSignificant differences were found in the clinical efficacy among 3 groups before and after treatment, and there were significant differences between Group A and C. The CIH scores of 3 groups all showed significantly reduction before and after treatment, significant differences were found in post－treatment scores of CIH among 3 groups, especially Group A vs C and Group B vs C. Adverse drug reaction was observed in all 3 groups, and Group B with less adverse drug reaction than Group A and C. ConclusionThe 3 interventions all have the effect of reducing the symptoms of ADHD. The behavior therapy can obviously increase the clinical effect of Methylphenidate, while acupuncture can obviously reduce the adverse drug reaction of Methylphenidate. It should be combined with behavior therapy, acupuncture and medications, in order to increase the validity and safety of the intervention on ADHD.

Key words: attention deficit hyperactivity disorder, methylphenidate hydrochloride, behavior therapy, acupuncture therapy

中图分类号:

R748

陈玥，朱德新，杨路. 行为疗法、针灸疗法结合专注达治疗儿童多动症疗效及安全性观察[J]. 江汉大学学报（自然科学版）, 2012, 40(3): 93-96.

CHEN Yue,ZHU De-xin,YANG Lu. Observation of Validity and Safety of Behavior Therapy, Acupuncture Therapy Combined with Methylphenidate in Treatment of Attention Deficit Hyperactivity Disorder[J]. Journal of Jianghan University(Natural Science Edition), 2012, 40(3): 93-96.