terça-feira, 14 de abril de 2015

Mais um estudo de Acupuntura e Tourette

O ESTUDO ABAIXO COMPAROU UM GRUPO DE 25 PACIENTES TRATADOS COM ACUPUNTURA E UMA ERVA DA MEDICINA CHINESA COM UM GRUPO CONTROLE TRATADO COM HALDOL . OS AUTORES RELATAM QUE EMBORA O HALDOL FOSSE MAIS EFICAZ NOS PRIMEIROS 30 DIAS DE TRATAMENTO, NOS DIAS 60 E 90 NAO HOUVE DIFERENÇA ENTRE OS GRUPOS. SERIA INTERESSANTE FAZER ESTUDO SEMELHANTE EM OUTRAS CULTURAS E POR TEMPO MAIS LONGO DE OBSERVAÇÃO, POIS 3 MESES PODE SER POUCO TEMPO DE OBSERVAÇÃO , NÃO SE DESCARTANDO O EFEITO PLACEBO E A OSCILAÇÃO NATURAL DOS TIQUES. OUTROS DETALHES NOS FICAM DESCONHECIDOS, POIS O ARTIGO É EM CHINÊS.  
CONFIRAM ABAIXO.  


Zhongguo Zhen Jiu. 2015 Feb;35(2):141-4.
[Clinical controlled trial on infantile Tourette syndrome treated with integrated therapy of acupuncture and medicine].
[Article in Chinese]
Tang Y, Shang Q, Li W, Xu S.
Abstract
OBJECTIVE:
To compare the difference in the clinical efficacy on infantile Tourette syndrome between the integrated therapy of acupuncture and pingganjianpi decoction and haloperidol tablets.
METHODS:
Forty-seven children were randomized into an observation group (25 cases) and a control group (22 cases). In the observation group, acupuncture was applied to Taichong (LR 3), Baihui (GV 20), Zhongwan (CV 12), Zusanli (ST 36), etc. The needles were retained for 30 min. Acupuncture was given once a day and there were 5 days at intervals after 10 times of acupuncture. Additionally, pinggan jianpi decoction was prescribed. In the control group, haloperidol tablets were prescribed, starting from the small dose, 0. 05 mg/kg per day, twice a day. The treatment of 30 days made one session and 3 sessions were required. Yale global tic severity scale (YGTSS) was adopted to observe tic time, tic frequency and tic severity score before treatment and in 30 days, 60 days and 90 days after treatment in the two groups. The efficacy and adverse reactions were compared between the two groups.
RESULTS:
The total effective rates were 40. 0% (10/25), 64.0% (16/25) and 76.0% (19/25) in the observation group and were 59.1% (13/22), 68.2% (15/22) and 77.3% (17/22) in the control group in 30 days, 60 days and 90 days after treatment respectively. The effect in 30 days after treatment in the control group was better than that in the observation group (P<0. 05). The differences at the other time points were not significant between the two groups (all P>0. 05). The tic time, tic frequency and tic severity score at the each time point after treatment were reduced obviously as compared with those before treatment (all P<0. 05). Each item score in the control group was reduced obviously as compared with that in the observation group in 30 days after treatment (all P<0. 05). The differences at the other time points were not significant between the two groups (all P>0.05). The probability of adverse reaction in the observation group was less than that in the control group.
CONCLUSION:
The integrated therapy of acupuncture and medicine achieves the similar effect on infantile Tourette syndrome to haloperidol tablets and the side effects of it are less.