儿童情绪障碍以躯体症状为主要表现的临床研究

The clinical research for emotional disturbance in children take somatic manifestations as to mainly express

目的 提高综合性医院儿科医生对以躯体症状为主要表现的情绪障碍患儿的诊治能力.方法 选取2004年6月至2005年6月在我院儿科门诊中情绪障碍以躯体症状为主要表现的100例患儿作为研究对象,由专业精神科医生作出诊治方案,并评估疗效.结果 由儿科门诊转心理门诊就诊的间隔时间：1～3个月者12例（12%）,6个月者21例（21%）,＞6个月者67例（67%）.67%的患儿起病后半年才转科诊疗,情绪障碍的发病除了有外在刺激因素外,与患儿本身的情绪有关.躯体症状以心血管、神经、消化道、泌尿生殖系统等症状为主.经心理治疗及相应药物治疗,95%以上的患儿得以康复.结论 综合性医院儿科医生应该重视以躯体症状为主要表现的情绪障碍儿童患者,及时发现和规范治疗,以提高诊疗水平.

Objective To increase diagnose and cure capability on the emotional disturbance children shown on somatization in pediatrics of general hospital. Methods 100 cases of emotional disturbances in children were selected to take somatic manifestations as to mainly express in pediatrics out-patient service in nay hospital and was made by the professional psychiatrist to visit patients at home to cure a project, and evaluate curative effect. Results From pediatrics out-patient service transfer to mental out-patient service to seek medical advice partition time： 12 cases were 1- 3 months,21 cases were 6 months,67 cases were more than 6 months. 67 % patients saw a doctor after 6 months illness to make a diagnosis and treatment. In addition to environment stimulate lnotion obstacle of ourbreak factor had something to do with suffering from the emotional factor. Somatic manifestations were symptoms of cardiovascular system, neurological system, gastrointestinal system, urinary system etc： they were cured by psychotherapy and medicine therapy,95 % children could recover from their illness. Conclusion Clinical pediatricians in general hospital should pay attention to the emotional disturbance in children taken somatic manifestations as mainly expression, raise diagnosis and treatment level.