羚角钩藤汤加减联合哌甲酯治疗儿童多动症的临床疗效研究-中西医结合临床专业论文.docxVIP

l」队 AW， l i l - - 1 i i 1 1l J : l i 1 1 目 目 录 中文摘要 l 英文摘要 2 前言············刖吾””””””””““””““”“一”········· ···0 00················································3”一“““””一””””””“”“”””””“”3 正文 《 临床资料与方法 4 4T 研究结果 8 讨论·················································································10 参考文献 16 致谢··························· · ······································18 附勇匙······································································ ····· ······19 文献综述 20 作者简历 24 1 咿 飞VP 飞VP 咱r 羚角钩藤汤加减联合哌甲酯治疗儿童多动症的临床疗效观察 羚角钩藤汤加减联合哌甲酯治疗儿童多动症的临床疗效观察 齐莲 中文摘要 目的t观察羚角钩藤汤加减联合哌甲酯治疗儿童多动症(ADHD)的效果一 方法：采用非盲法随机对照实验研究设计方案，将80例ADHD患儿随机分为试验． 组、西药组和中药组三组。三组基础治疗相同，试验组(第1组)加以哌甲酯联合羚角 钩藤汤加减治疗，西药组(第2组)仅加以哌甲酯治疗，中药组(第3组)仅加以羚角 钩藤汤加减治疗。观察试验组、西药组和中药组治疗前后的SNAP-IV教师和家长评定量 表、治疗后不良反应、副反应情况及治疗后总体疗效，从而比较三组的临床疗效。 卵 结果：试验组SNAP-IV教师和家长评定量表评分的总有效率为96．67％，明显高于西 lr 药组的86．67％，高于中药组的80．00％，(尸0．05)。 结论：使用传统中医药方羚角钩藤汤加减联合哌甲酯治疗ADHD的临床疗效较为 显著，可减少ADHD患者SNAP．IV教师和家长评定量表评分和治疗后不良反应和副作 用，临床总有效率达96．67％，优于单纯采用羚角钩藤汤加减和单纯采用哌甲酯治疗。 羚角钩藤汤加减联合哌甲酯可能作为ADHD的临床治疗的较好选择。 ．关键词：轻微脑损伤综合症中西医结合疗法哌醋甲酯临床方案中药 ／治疗作用羚角钩藤汤 ’ lp Clinical Clinical observation of the effect of treating ADHD with Methylphenidate and Chinese traditional medicine·-Ling Jiao Gou ．Teng Tang plus Qi Lian Abstract Objective：To observe the clinical effect of Methylphenidate and combined wim Chinese traditional medicine-Ling Jiao Gou Teng Tang plus(LJGT-4-)in the treatment ofADHD． Method：Eighty children with ADHD were divided randomly and no-blindly into the treatment group(group one)and the control groups(group two and three)．Group one was treated、)l，itll bom，Methylphenidate and LJGT+，the group two Was treated with only 飞 Mcthylphenidate，and the group three Was treated、)I