| Objective: By comparing the curative effects, onset time, side effects and long-term efficacy of the "Anti Liver Spleen Fu" acupuncture and moxibustion treatment with those of Western medicine hydrochloric acid sulfur in treating children with tic disorders, this study aims at exploring the advantages of adopting Chinese acupuncture and moxibustion to treat children with tic disorders.Methods:First divide the 62 cases which match the diagnostic requirement of children with tic disorder in western medicine into two groups. Treatment group takes the "anti liver spleen Fu" acupuncture and moxibustion, while the control group takes the western medicine Hydrochloric Acid Sulfur. One treatment course lasts 4 weeks. The whole treatment takes three courses. At the same time, Yale tic comprehensive severity table is used to evaluate the treatment process at week 0, week4,week 8 and week 12 before and after each course of treatment respectively. The research date is analyzed by spass20.0 and described by x±S; grouped data is examined by X2 test; Count data is examined by T test; ranked data is examined by wilcoxon test. Whether the curative efficacy of the two groups is significant or not is decided on the basis of the evaluation result.Results:1. Baseline results:the two groups were compared in terms of gender, age, duration of disease, type of tic disorder before treatment, and test results showed P>0.05, which was not statistically significant.2. Results within the group:the Yale tic comprehensive severity table showed: treatment group:47.69 ± 17.29 (before treatment),26.53 ± 23.62 (after treatment), and the paired test showed P< 0.05, which was statistically significant; Control group: 43.97 ± 17.09 (before treatment),20.32≡ 19.31 (after treatment), and the paired t test showed P< 0.05, which was statistically significant.3. Results between the two groups:(1) the total efficacy after treatment:69.23% (treatment group) and 79.41% (control group); the Wilcoxon rank sum test indicated P> 0.05, which was not statistically significant; (2) the reduced rate after treatment: 52.12 ± 30.42% (treatment group) and 61.61 ± 24.14% (control group);4. The treatment efficacy results between groups in different treatment courses:(1) the Wilcoxon rank sum test indicated that P> 0.05 at week 4, which was not statistically significant. (2) the Wilcoxon rank sum test indicated P> 0.05 at week 8 and 12 which was not statistically significant.5. The long-term efficacy results:(1) the total efficiency:61.5% (treatment group) and 38.2% (control group); the Wilcoxon rank sum test showed P< 0.05, which was statistically significant in difference; (2) the reduced rate:52.67±33.53% (control group) and 33.79 ± 22.43% (control group); the Wilcoxon rank sum test showed P< 0.05, which was statistically significant in difference.6. In the treatment course of using hydrochloric acid, seven cases showed side effects, which accounted for 20.5% of the whole treatment group.Conclusion:1. "Anti Liver Spleen Fu" acupuncture and moxibustion treatment was as effective as Western medicine hydrochloric acid sulfur in the treatment of children with tic disorders in terms of the total efficiency and reduced rate, so its clinical curative effect was certain.2. The curative effect of "Anti Liver Spleen Fu" acupuncture and moxibustion treatment was slow in the early stage but good in the later stage, while the curative effect western medicine hydrochloric acid sulfur was not good in the latter stage whic.3. The long-term curative effect of acupuncture and moxibustion treatment was better because children with tic symptoms were more likely to relapse if they stopped taking hydrochloric acid sulfur.4. Hydrochloric acid sulfur had certain side effects in the treatment course, while the "Anti Liver Spleen Fu" acupuncture and moxibustion treatment had none. |
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