抽动障碍儿童的5种行为问题分析

目的比较短暂性抽动障碍、慢性抽动障碍/Tourrettes综合征和正常对照儿童的5种行为问题。方法选择来我院儿童保健门诊就诊的169例短暂性抽动障碍儿童(病例1组)、44例慢性抽动障碍/Tourrettes综合征儿童(病例2组)和130例正常对照(对照组)儿童进行研究。用相关软件和量表对儿童智力、焦虑、注意缺陷多动障碍、睡眠障碍和自残行为进行测查;用自行设计的调查问卷收集儿童的一般情况、发病情况以及家庭成员患病情况。结果病例1组儿童与对照组儿童5种行为问题发生率比较,无统计学差别;病例2组儿童行为问题发生率高于其他两组儿童(P<0.05);病例1组和病例2组一级亲属抽动障碍的发生率分别为8.28%和9.09%(P>0.05),明显高于对照组的0.77%(P<0.05)。结论慢性抽动障碍/Tourrettes综合征儿童存在较多的行为问题,抽动障碍家族史是该病的危险因素。

Analysis of five behavioral problems for tic disorder children

Objective To compare of the behavioral problems among children with transient tic disorder,chronic tic disorderTourrette's syndrome and healthy controls.Methods Totally 169 transient tic disorder cases (case 1 group),44 chronic tic disorderTourrette's syndrome cases (case 2 group) and 130 healthy controls were studied.Intelligence quotient,dysphoria,and attention deficit hyperactivity disorder,dyssomnia,autotomy were measured using correlated software and measuring scale.The general information and the tic disorder history of first degree relatives were obtained by questionaire.Results The detection rates of the five kinds of behavioral problems had no significant differences between case 1 group and healthy control group (P>0.05),both groups were lower than that in the case 2 group (P<0.05).In case 1 group and case 2 group,the rate of tic disorder history in first degree relatives was 8.28% and 9.09%,respectively (P>0.05),both higher than 0.77% of healthy controls (P<0.05).Conclusion Chronic tic disorderTourrette's syndrome children more easily accompany with behavior problems,and the family history of tic disorder is a risk factor of the disease.