抽动─秽语综合征的临床表现及诊断标准

Study on clinical manifestation and diagnostic criteria of tourette disease

目的探讨抽动—秽语综合征临床表现特点及诊断分型标准。方法通过对98例患儿的临床表现、化验检查及特殊实验室检查结果总结分析.并对两种诊断标准（CCMD-Ⅱ及DSM-Ⅲ-R）进行比较.做统计学处理。结果两种诊断方法主要区别有两点:1.Tourette氏障碍有1年病程限定.而抽动—秽语综合证无需;2Tourette氏障碍不要求抽动与秽语同时存在.而抽动-秽语综合征则要求。结论CCMD-Ⅱ诊断标准更为合理。

objective To seach for the clinical manifeation and diagnostic criteria of Tourette disease.Method There were 98 cases. Studied on these children's clinical manifestation and test examination,also comparing different of CCMD-Ⅱ and DSM-Ⅲ-R. The results were analysed statisticafly.Results There are 2 different pionts letween CCMD-Ⅱ and DSM -Ⅲ - R ①Tourette's disease has a one-year delimitation,while tic-coprolalia syndrome does not. ②The tic -coprolalia in Tourtte's disease ned not occure, but tic- coprolalia sgndrome must occure in the same patient.Conclusion The authors think that CCMD-Ⅱ is more feasible.