目的:探讨中药联合情志疗法对儿童抽动秽语综合征的临床疗效及安全性。方法:选择2012年2月—2014年2月医院收治的抽动秽语综合征儿童72例,按照随机数字表法将其分为观察组42例、对照组30例,对照组给予泰必利治疗,观察组给予中医辨证联合情志疗法,比较两组患儿治疗3个月后的疗效、治疗前后耶鲁综合抽动严重程度量表(YGTSS)评分以及两组不良反应。结果:观察组治疗总有效率为(95.24%)显著高于对照组治疗总有效率为(76.67%)(P<0.05);YGTSS症状评分比较,治疗前,两组患儿在运动性抽动、发音性抽动、综合损害以及总分上均不存在统计学差异(P>0.05);治疗后,两组患儿各症状评分均较治疗前显著降低(P<0.05);治疗后,观察组患儿各症状评分均显著低于对照组患儿(P<0.05);在治疗期间,对照组2例患儿出现轻度嗜睡、乏力、头晕症状,但仍能坚持至治疗结束,观察组为发现明显不良反应,且两组患儿血、尿常规、肝功能、肾功能检查均无出现异常。结论:中医辩证联合情志疗法治疗儿童抽动秽语综合征其疗效显著、安全性好,具有着较大的运用前景,值得临床推广。 Objective: To investigate the clinical efficacy and safety of traditional Chinese medicine combined with emotional therapy in children with Tourette’s syndrome. Methods: Seventy-two children with Tourette’s syndrome admitted to our hospital from February 2012 to February 2014 were divided into observation group (n = 42) and control group (n = 30) according to the random number table method. The control group was treated with tiapride The observation group was given syndrome differentiation combined with emotion therapy. The curative effect of three months after treatment was compared between the two groups. Yale tic and tactile tonic scale (YGTSS) before and after treatment and two groups of adverse reactions were compared. Results: The total effective rate of observation group was (95.24%) significantly higher than that of control group (76.67%) (P <0.05). Compared with symptom score of YGTSS before treatment, (P> 0.05). After treatment, the symptom scores of both groups were significantly lower than those before treatment (P <0.05). After treatment, the patients in the observation group Children in the control group were significantly lower than those in the control group (P <0.05). During the treatment period, two children in the control group developed mild drowsiness, fatigue and dizziness, but they still persisted until the end of treatment. The observation group was found Significant adverse reactions, and two groups of children with blood, urine, liver function, renal function tests showed no abnormalities. Conclusion: The dialectical combined with emotional therapy of children with Tourette syndrome in children with significant effect, good safety, with a greater use of the future, worthy of clinical promotion.