儿童抽动障碍176例临床分析  

A clinical analysis of 176 children with tic disorder

作　　者：刘京媛[1] 范鸫虹[1] 王国忠[2] 

机构地区：[1]西安市儿童医院,陕西西安710003 [2]西安理工大学校医院,陕西西安710048

出　　处：《中国妇幼健康研究》2006年第6期479-480,共2页Chinese Journal of Woman and Child Health Research

摘　　要：目的了解儿童抽动障碍的病因、临床特征及发病特点,以便早期诊断、早期治疗。方法以西安市儿童医院儿保门诊1997年1月至2002年1月已确诊抽动障碍的176例儿童作为研究对象,进行辅助视频脑电图、血清微量元素、注意力测试等相关辅助检查。结果男性发病多于女性;各年龄组临床特征不同;血微量元素缺乏37例,占21%;抽动障碍伴多动18例,占10.2%;测脑电图者41例,其中正常者占78.1%,轻度异常占21.9%,但无特异性改变。结论儿童抽动障碍发病与性别、年龄有关;部分儿童补铁治疗有效。抽动伴多动者,优先治疗抽动后多动症状可缓解,采取综合治疗,早期进行干预,预后良好。Objective To investigate etiology, clinical characteristics of tic disorder（TD） so as to diagnose and treat the disease as early as possible. Methods 176 patients with a definite diagnosis in the Child Health Clinic from 1997 to 2002 were examined for video - electroencephalogram（VEEG） monitoring, detection of serum trace elements, attention test and the results were analyzed statistically. Results The clinical characteristics of the disease： the males were more than females; 26.7% of patients had a definite diagnosis; the patients in the different age groups had different clinical characteristics; 37/176（21% ） patients were trace element deficient; 18/176（ 10. 2% ） patients with tic disorder were complicated with hyperactivity. Of 41 patients who received VEEG monitoring, 32 patients had normal VEEG and 9 patlents（21.9% ）had an mildly abnormal VEEG without specific changes. Conclusion The children＇s TD is associated with sex, age. Supplementation of iron is effective for a part of children. For those TD children complicated with hyperactivity, if TD is prior to be treated, hyperactivity would be remitted. Early intervention, combined treatment may be contributive to a good outcome.

关 键 词：儿童 抽动障碍 临床分析 预后 

分 类 号：R72[医药卫生—儿科]