抽动障碍是小儿常见的神经精神障碍性疾病,在一定程度上影响儿童的身心健康发育。然而其目前仍存在诊断困难、病情复杂、治疗棘手等多项挑战。随着疾病诊疗的进展,西医治疗儿童抽动障碍的局限性如不良反应较多、药物减量后易复发、治疗手段较单调、疗程偏长等问题日渐凸显,中医药治疗儿童抽动障碍以其多样化的治疗手段,多角度的辨证论治,以及相对成熟的治法方药而展现出广阔的应用前景。本文总结近年来儿童抽动障碍的中西医研究进展并对当前存在问题及未来研究方向加以评述,以进一步指导抽动障碍的临床诊疗。
广西医学 页码:1310-1315
作者机构:王俊宏,博士,主任医师,研究方向为中医药防治小儿神经精神疾病的临床和基础研究。
基金信息:第七批全国老中医药专家学术经验继承工作项目(国中医药人教函〔2022〕129号)
抽动障碍是小儿常见的神经精神障碍性疾病,在一定程度上影响儿童的身心健康发育。然而其目前仍存在诊断困难、病情复杂、治疗棘手等多项挑战。随着疾病诊疗的进展,西医治疗儿童抽动障碍的局限性如不良反应较多、药物减量后易复发、治疗手段较单调、疗程偏长等问题日渐凸显,中医药治疗儿童抽动障碍以其多样化的治疗手段,多角度的辨证论治,以及相对成熟的治法方药而展现出广阔的应用前景。本文总结近年来儿童抽动障碍的中西医研究进展并对当前存在问题及未来研究方向加以评述,以进一步指导抽动障碍的临床诊疗。
Tic disorder is a common neuropsychiatric disorder in children, which affect the development of children's physical and mental health to a certain extent. However, there are still multiple challenges such as difficult diagnosis of tic disorder, complex disease conditions, and difficult therapeutic regimens. With the progress of disease diagnosis and treatment, the limitations of Western Medicine for the treatment of tic disorder in children are becoming more and more prominent, such as more adverse reactions, common relapse after drug dose reduction, monotonous therapeutic regimens, and long disease course of treatment, etc. Traditional Chinese Medicine for the treatment of tic disorder in children shows a broad prospect of application with its diversified therapeutic regimens, multi⁃angle syndrome differentiation and treatment, and relatively mature treatment principles, methods, prescriptions, and drugs. This paper summarizes the research progress on Traditional Chinese and Western Medicine in children with tic disorder in recent years, and reviews on the existing problems and future research directions, so as to further guide the clinical diagnosis and treatment of tic disorder.