| 杨育访,陈玉燕.Tourette 综合症共患病及中医证型分析[J].浙江中西医结合杂志,2021,31(3): |
| Tourette 综合症共患病及中医证型分析 |
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| 投稿时间：2020-08-14 修订日期：2021-01-03 |
| DOI： |
| 中文关键词: Tourette综合征 共患病 中医证型 |
| 英文关键词:Tourette syndrome Comorbidities TCM syndrome type |
| 基金项目: |
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| 中文摘要: |
| 目的 调查分析Tourette 综合症(TS)的共患病、中医证型分布情况及两者之间的相关性。方法 连续入组2017年9月至2019年10月就诊于浙江省中医院儿科门诊的TS患儿,进行一般人口学信息、患病情况、共患病情况、中医症候分型等调查。结果 320例TS患儿中在既往临床诊断中共患一种或一种以上共患病患儿227例(70.94%),共患ADHD患儿最多149例(46.56%),其次是OCD93例(29.06%)、ED42例(13.13%)、SD40例(12.50%)、LD18例(5.63%)；有2种共患病时,ADHD+OCD最多为45例(14.06%)。TS患儿中医证型以气郁化火型为主,其次为阴虚风动型。TS是否存在共患病与中医证型的分布具有差异,气郁化火症型更高概率会存在共患。不同的共患病与中医证型分布的关系中,是否共患OCD在中医证型分布上存在差异,其中气郁化火型共患OCD的概率较阴虚风动型与脾虚痰聚型高。结论 TS共患病临床常见,共患病对TS中医证型分布有影响。 |
| 英文摘要: |
| Objective To investigate the comorbidities of Tourette syndrome (TS) and the distribution of TCM syndromes, and to analyze the relationship between the comorbidities of Tourette syndrome (TS) and TCM syndromes.Methods The TS children were enrolled in the pediatric outpatient department of zhejiang hospital of traditional Chinese medicine from September 2017 to October 2019. The children and their parents were surveyed by questionnaires. Clinicians conducted surveys on the general demographic information, disease status, comorbidities, and TCM syndrome classification of the children.Results Among the 320 children with TS, 227 (70.94%) had comorbid disease in the previous clinical diagnosis, and the most (46.56%) had ADHD, followed by OCD (29.06%), ED (13.13%), SD (12.50%) and LD (5.63%). When a total of two mental disorders were diagnosed, ADHD+OCD was the largest (14.06%). The TCM syndrome types of TS children were mainly Hepatic port of pneumatic type, followed by wind-motility type of Yin deficiency type. The distribution of comorbidities in TS is different from that in TCM. In the relationship between different comorbidities and the distribution of TCM syndrome types, there is a difference in the distribution of TCM syndrome types between co-comorbidities OCD. Among them, the probability of co-comorbidities of Hepatic port of pneumatic type co-comorbidities of OCD is higher than that of wind-motility type of Yin deficiency and phlegm-accumulation type of spleen deficiency.Conclusion Comorbidities of TS are common in clinic and affect the distribution of TCM syndromes of TS. |
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