小儿外感热病是儿科的常见病,也是中医治疗的优势病种.北京中医医院儿科自建院以来涌现了祁振华、周慕新、滕宣光、宋祚民、温振英、王应麟、佘继林等名老中医,他们在治疗小儿外感热病方面疗效卓著,在辨治思路上一脉相承,均以清热透邪为治法主线,在加减用药方面又各有侧重,一脉相承中又不断创新.北京中医医院儿科名老中医强调小儿外感热病常传变迅速、易从热化,治疗以清热透邪为主要治法,兼以导滞泻热、平肝息风、育阴凉血等,同时注重顾护脾胃,临床疗效显著.
目的 探讨儿童抽动障碍与过敏性疾病的相关性,为儿童抽动障碍的防治提供参考.方法 采用病例对照研究,选取2021年1—11月就诊于首都医科大学附属北京中医医院儿科、首都儿科研究所附属儿童医院神经内科及北京中医药大学第三附属医院儿科确诊为抽动障碍的216例患儿设为病例组,同时选取同期前往相同科室就诊的216例非抽动障碍儿童设为对照组.对两组儿童进行问卷调查.结果 病例组患儿中过敏性结膜炎与抽动障碍的相关性最高(OR=4.95,95％CI=2.75～8.90),其次分别为湿疹(OR=4.18,95％CI=2.36～7.43)、过敏性鼻炎(OR=2.64,95％CI=1.72～4.05)和食物过敏(OR=2.50,95％CI=1.28～4.88),与对照组比较,差异有显著性.结论 儿童抽动障碍的发生与过敏性疾病相关,过敏性疾病可能是抽动障碍发生的重要危险因素之一.
Review question / Objective: Participants are children or adolescents age under 18 with TS or other chronic tic disorders diagnosed by proper medical diagnosis criteria, such as the Diagnostic and Statistical Manual, fourth edition (DSM-IV), or the text revision of fourth edition (DSM-IV-TR), or the fifth edition(DSM-V).The Chinese Classification of Mental Disorders (CCMD) either measure with second revision version (CCMD-2R) or third version (CCMD-3).Interventions: Acceptable treatments only included manual acupuncture, electro-acupuncture or plum-blossom needling which regardless of needling techniques and stimulation method, combined routine treatment or alone.Auricular (ear) acupuncture, acupressure, acupoint application, catgut embedding, transcutaneous electrical acupoint stimulation, acupoint injection are excluded.Comparators: Treatments in the comparison groups can be sham-acupuncture, placebo, or no additional intervention to usual care.(e.g., psychoeducation, behavioral interventions or western medicine.)Studies compare different types of acupoint based therapy are included.Outcome: The main outcome is Yale Global Tic Severity Scale (YGTSS) which measured the mean overall change in tic symptoms from baseline to endpoint.Additional outcomes may include the incidence of adverse reactions, the recurrence rate and the improvement of comorbidities and TCM symptoms.
