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目的:探讨合适的维持治疗时间能保证病情的稳定,减少抽动障碍的复发率,维持治疗时间的研究对中医规范化治疗抽动障碍意义重大。方法:通过回顾性研究,按照纳入标准选择合适的198个病例,对不同分型、不同病情、不同病程的抽动障碍的维持治疗时间和复发率进行研究。结果:维持6～9月治疗组的复发率和维持<3月、维持3～6月的复发率比较,差异有统计学意义(P<0.05),而与维持>9月的复发率比较,差异无统计学意义(P>0.05);病程≤3月组与其他各组维持时间比较,差异有统计学意义(P<0.05),其平均维持时间最少,为12周左右;从不同的病情严重程度来说,抽动轻度患者平均维持治疗时间10周,抽动中度患者平均维持治疗时间36周,抽动重度患者平均维持治疗时间48周。结论:抽动障碍患者应根据病情、病程、分型选择相应的维持治疗时间,一般病情轻、病程短、短暂性抽动障碍的患者的维持治疗时间短,不易复发。
Objective: To explore the appropriate maintenance of treatment time to ensure the stability of the disease and reduce the recurrence rate of tic disorder, to maintain treatment time of the Chinese medicine standardized treatment of tic disorder is significant. Methods: A retrospective study was conducted to select the appropriate 198 cases in accordance with the inclusion criteria to study the duration of maintenance treatment and the recurrence rate of tic disorder with different types, conditions and durations. Results: The recurrence rate and the maintenance of <3 months in the treatment group from June to September were statistically significant (P <0.05), while the recurrence rates of maintenance> 9 months, There was no significant difference between the two groups (P> 0.05). The duration of maintenance ≤3 month group was significantly different from the other groups (P <0.05), and the average maintenance time was the least, about 12 weeks. Severity, mild twitching patients with an average maintenance treatment time of 10 weeks, twitching moderate maintenance treatment of patients with an average of 36 weeks, twitch severe patients with an average maintenance treatment of 48 weeks. Conclusion: Patients with tic disorder should choose the appropriate treatment duration according to the disease, course of disease and type. Patients with mild disease, short course of disease and transient tic disorder have short maintenance treatment time and are unlikely to relapse.