中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2011年
12期
1334-1337
,共4页
李成瑶%陈虹%季金萍%刘张%谷红丽
李成瑤%陳虹%季金萍%劉張%穀紅麗
리성요%진홍%계금평%류장%곡홍려
抽动障碍%儿童%注意缺陷多动障碍
抽動障礙%兒童%註意缺陷多動障礙
추동장애%인동%주의결함다동장애
Tic disorder%Children%Attention-deficit hyperactivity disorder
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.
目的 評估抽動障礙兒童的行為,分析不同臨床狀況抽動障礙兒童的行為特徵.方法 選用兒童行為調查錶(CBCL)對63例抽動障礙兒童進行評分,通過方差分析、t檢驗分析抽動障礙兒童不同臨床類型、不同抽動嚴重程度、是否共患註意缺陷多動障礙(ADHD)的CBCL總分及各因子得分.結果 3種不同臨床類型間CBCL總分及各因子得分差異未見統計學意義(P＞0.05),中重度抽動障礙組軀體主訴(4.15±2.34)分高于輕度抽動障礙組(2.68±2.22)分(t=-2.540,P=0.014),共患ADHD組在註意問題(9.94±3.57)分、違紀行為(3.94±3.06)分、攻擊行為(15.39±5.12)分、外嚮性行為( 13.98±7.34)分、CBCL總分(47.89±17.51)分高于單純抽動障礙組[分彆為(7.31±3.34)、(2.44±2.22)、(7.24±4.93)、(9.78±6.55)、(37.07±17.98)分,t值分彆為-2.774、-2.166、-1.930、-1.956、-2.174,P值分彆為0.007、0.034、0.048、0.041、0.034].結論 不同臨床狀況抽動障礙兒童行為問題的髮生和行為特徵各不相同,其中是否共患ADHD對行為問題影響最明顯.
목적 평고추동장애인동적행위,분석불동림상상황추동장애인동적행위특정.방법 선용인동행위조사표(CBCL)대63례추동장애인동진행평분,통과방차분석、t검험분석추동장애인동불동림상류형、불동추동엄중정도、시부공환주의결함다동장애(ADHD)적CBCL총분급각인자득분.결과 3충불동림상류형간CBCL총분급각인자득분차이미견통계학의의(P＞0.05),중중도추동장애조구체주소(4.15±2.34)분고우경도추동장애조(2.68±2.22)분(t=-2.540,P=0.014),공환ADHD조재주의문제(9.94±3.57)분、위기행위(3.94±3.06)분、공격행위(15.39±5.12)분、외향성행위( 13.98±7.34)분、CBCL총분(47.89±17.51)분고우단순추동장애조[분별위(7.31±3.34)、(2.44±2.22)、(7.24±4.93)、(9.78±6.55)、(37.07±17.98)분,t치분별위-2.774、-2.166、-1.930、-1.956、-2.174,P치분별위0.007、0.034、0.048、0.041、0.034].결론 불동림상상황추동장애인동행위문제적발생화행위특정각불상동,기중시부공환ADHD대행위문제영향최명현.
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 =0.007,0.034,0.048,0.04 1,0.034 ).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.
