不同临床状况抽动障碍儿童的行为特征分析  

Behavioral characteristics of children with tic disorder at different clinic conditions

作　　者：李成瑶[1] 陈虹[1] 季金萍[1] 刘张[1] 谷红丽[1] 

机构地区：[1]大连医科大学附属第一医院儿科,116011

出　　处：《中国综合临床》2011年第12期1334-1337,共4页Clinical Medicine of China

摘　　要：目的评估抽动障碍儿童的行为，分析不同临床状况抽动障碍儿童的行为特征。方法选用儿童行为调查表（CBCL）对63例抽动障碍儿童进行评分，通过方差分析、t检验分析抽动障碍儿童不同临床类型、不同抽动严重程度、是否共患注意缺陷多动障碍（ADHD）的CBCL总分及各因子得分。结果3种不同临床类型间CBCL总分及各因子得分差异未见统计学意义（P〉0．05），中重度抽动障碍组躯体主诉（4．15±2．34）分高于轻度抽动障碍组（2．68±2．22）分（t=-2．540，P=0．014），共患ADHD组在注意问题（9.94±3．57）分、违纪行为（3．94±3．06）分、攻击行为（15．39±5．12）分、外向性行为（13．98±7．34）分、CBCL总分（47．89±17．51）分高于单纯抽动障碍组[分别为（7．31±3．34）、（2．44±2．22）、（7．24±4．93）、（9．78±6．55）、（37．07±17．98）分，t值分别为-2．774、-2．166、-1．930、-1.956、-2．174，P值分别为0．007、0．034、0．048、0．041、0．034]。结论不同临床状况抽动障碍儿童行为问题的发生和行为特征各不相同，其中是否共患ADHD对行为问题影响最明显。Objective To assess the behavior of children with tic disorder（TD）, and to analyze the behavioral characteristics among children with TD at different clinic conditions. Methods Sixty-three children with TD were evaluated with Child behavior checklist （ CBCL）. ANOVA and t-test were used to analyze the difference in the total and individual scores of CBCL in the children classified according to the different clinical types ,the severity of TD, and comorbid attention-deficit hyperactivity disorder （ADHD）. Results There were no significant differences among the total and individual scores of CBCL in the patients of the different clinic types（ P 〈 0. 05 ） ;the scores of body complain in the patients in moderate to severe conditions （4. 15 ± 2. 34 ） were higher than that of those in mild condition （2. 68 ± 2. 22 ） （t = -2. 540, P =0. 014） ;the scores of attention problem （9.94 ± 3.57 ）, disciplinary offence （ 3.94 ± 3.06 ）, aggressive behavior （ 15.39 ± 5.12 ）, exportoriented behavior problems （ 13.98 ± 7.34 ） and behavior problem （ 47.89 ± 17.51 ） in TD comorbid ADHD were higher than in simple TD group （7.31 ± 3.34, 2. 44 ± 2. 22,7. 24 ± 4.93,9.78 ± 6. 55,37.07 ± 17.98） （ t = - 2. 774, - 2. 166, - 1. 930, - 1. 956, - 2. 174, P = 0. 007,0. 034,0. 048,0. 041,0. 034 ）. Conclusion Children with TD at different clinical conditions have varied behavioral problems and behavioral characteristics, while comorbid ADHD is the most significant factor to affect TD patient＇s behaviors.

关 键 词：抽动障碍 儿童 注意缺陷多动障碍 

分 类 号：R749.94[医药卫生—神经病学与精神病学]