表现为抽动症状的儿童过敏性鼻炎86例诊治分析  

Diagnosis and treatment of allergic rhinitis in children with tic symptoms:A clinical analysis of 86 cases

作　　者：杨中婕 沈翎 林宗通 高信忠 刘平凡 YANG Zhong-jie;SHEN Ling;LIN Zong-tong(Department of Otolaryngology,Fuzhou Children's Hospital of Fujian Province,Fuzhou 350005,China)

机构地区：[1]福建省福州儿童医院,福建福州350005

出　　处：《中国实用儿科杂志》2023年第12期937-941,共5页Chinese Journal of Practical Pediatrics

基　　金：福州市临床重点专科建设项目经费资助(No.20220304)。

摘　　要：目的探讨表现为抽动症状的过敏性鼻炎(AR)患儿的临床特征、诊断和治疗。方法选择2021年1月至2022年12月福建省福州儿童医院耳鼻咽喉科收治的86例表现为抽动症状的AR患儿,以鼻咽镜检查确诊鼻窦炎、腺样体肥大,根据有无合并症分为合并症和无合并症2组,并行视觉模拟量表(VAS)和耶鲁抽动整体严重程度量表(YGTSS)评分及相应的药物和(或)手术治疗,1个月后再以同法评分及疗效评定。分析各组统计学指标。结果76例有效,有效率88.4%。入组及有效患儿均以3~6岁为主,该年龄段有效率为96.9%。入组患儿治疗前、后VAS和YGTSS评分及治疗前后二者差值均呈正相关。合并症组VAS和YGTSS评分较无合并症组高。无合并症组疗效最佳,有效率为97.8%。结论部分抽动症状可能是AR表现形式之一,合并鼻窦炎、腺样体肥大可加重抽动症状。对抽动症状患儿,应评估有无AR、鼻窦炎及腺样体肥大等,尤其3~6岁者,并给予足疗程规范治疗。Objective To investigate the clinical characteristics,diagnosis,and treatment of kids with allergic rhinitis(AR)who exhibit tic symptoms.Methods A total of 86 children with AR manifested as tic symptoms were chosen,and nasopharyngoscopy revealed sinusitis and adenoid enlargement in all of them.The patients were divided into two groups—those who had comorbidities and those who did not.The symptoms were scored by VAS and YGTSS and treated with appropriate drugs and/or surgery.After 1 month,they were scored by the same methods and effects evaluated.The statistical indicators of each group were analyzed.Results A total of 76 cases had successful outcomes,with an effective rate of 88.4%.The children included in the group and who had effect were mainly aged 3-6 years,the effective rate of which was 96.9%.There was a positive correlation between the VAS and YGTSS scores before and after therapy as well as the difference between the two.In comparison to patients without complications,those with complications had higher VAS and YGTSS scores.The group without complications had the best curative effect;their effective rate was 97.8%.Conclusion One of the signs of AR is tic symptoms,which are also aggravated by sinusitis and adenoid hypertrophy.Particularly those aged 3-6 years old should have their sinusitis,adenoid hypertrophy,and AR examined in addition to receiving the conventional full treatment for tic symptoms.

关 键 词：儿童 抽动症状 过敏性鼻炎 抽动障碍 

分 类 号：R72[医药卫生—儿科]