扁桃体和腺样体肥大患儿心理行为特征的对照研究

The influence of tonsillar and adenoidal hypertrophy on mental behavior of children

目的:扁桃体和腺样体肥大对儿童心理行为的影响。方法:采用湖南医科大学龚耀先1986年修订的Achenbach儿童行为量表对97例扁桃体和腺样体肥大患儿进行心理行为的检测。结果:扁桃体和腺样体肥大儿童心理行为异常检出率明显高于对照组。扁桃体和腺样体肥大患儿心理行为的总粗分均显著高于对照组,差异有统计学意义(P<0.01)。男孩主要表现在分裂性、交往不良、强迫性、多动、违纪方面,女孩主要表现在体诉、多动、攻击方面,均差异有统计学意义(均P<0.01)。行扁桃体切除术和腺样体切除术3个月后,对患儿进行第2次测试,术后男孩在分裂性、抑郁、强迫性、体诉方面分数及总粗分明显低于术前值,差异有统计学意义(P<0.05)。女孩在抑郁,强迫分裂性、违纪、攻击、残忍方面分数及总粗分明显低于术前值,差异有统计学意义(P<0.05)。心理行为异常检出率与患儿年龄呈正相关。结论:扁桃体和腺样体肥大对患儿的心理行为有比较明显的影响,应加强对扁桃体和腺样体肥大患儿的心理行为干预。

Objective：To investigate the influence of tonsillar and adenoidal hypertrophy on mental behavior of children. Method： Mentality and behavior of total sixty-one children suffering from tonsillar and adenoidal hypertrophy were tested with Achenbach Child Behavior Checklist（CBCL） edited by Gong Yaoxian in 1986. Result： The mentality and behavior of the children suffering from tonsillar and adenoidal hypertrophy were distinctly abnormal compared to control children（P〈0.01）. The behavioral abnormities of boys appeared as divisiveness, social difficulties, compel, hyperkinetic syndrome and attack,and the girls appeared as hyperkinetic syndrome and attack, which was significantly different from the control children （P〈0. 01 ）. The second test was performed three months after tonsillectomy and adenoidectomy, and compared with the first one. Boys were found that the divisiveness, hypochondria, compel and unwell of body cursory mark were evidently lower than the first test（P〈0.05）. Girls were found that divisiveness, hypochondria, disobeyed discipline and attack mark were evidently lower than the first test（P〈0.05）. The abnormal rates of mentality and behavior positively correlated with the age of children. Conclusion：Tonsillar and adenoidal hypertrophy evidently affected the mentality and behavior of children. The psychological and behavioral intervention were necessary for children suffering from tonsillar and adenoidal hypertrophy.