强迫障碍共病抽动秽语综合征1例  

A case of obsessive-compulsive disorder comorbid with Tourette Syndrome

作　　者：刘晓娜 栗克清[1] 张萍[1] Liu Xiaona;Li Keqing;Zhang Ping(Hebei Provincial Center for Mental Health,Baoding 071000,China)

机构地区：[1]河北省精神卫生中心,保定071000

出　　处：《中华精神科杂志》2025年第4期285-287,共3页Chinese Journal of Psychiatry

摘　　要：强迫障碍是一种慢性精神疾病,以强迫思维和强迫行为特征。抽动秽语综合征是一种慢性神经精神障碍,主要表现为不自主地多种运动和发声抽动。本例患者为17岁男性,以反复想事情、肢体不自主抽动为主要症状就诊,诊断为强迫障碍、抽动秽语综合征,经舍曲林联合阿立哌唑口服液药物治疗,以及重复经颅磁刺激治疗、习惯逆转训练、放松训练治疗后,强迫症状及不自主抽动症状明显减轻。本文报道了这例强迫障碍共病抽动秽语综合征的诊疗案例,以期为强迫障碍共病抽动秽语综合征的诊治提供参考。Obsessive-compulsive disorder(OCD)is a chronic mental illness characterized by obsessive thinking and compulsive behavior.Tourette syndrome(TS)is a chronic neuropsychiatric disorder primarily manifesting as involuntary motor and vocal tics.This case report describes a 17-year-old male patient who presented with recurrent intrusive thoughts and involuntary limb twitching.He was diagnosed with OCD and TS.Treatment included sertraline and aripiprazole oral solution,repeatitive transcranial magnetic stimulation,habit reversal training and relaxation training.Following treatment,both OCD symptoms and tic symptoms significantly alleviated.This case reports aims to provide a reference for the treatment of coexisting Tourette′s syndrome with OCD disorder.

关 键 词：强迫性障碍 抽动秽语综合征 儿童青少年 共病 

分 类 号：R749.7[医药卫生—神经病学与精神病学]