儿童抽动障碍82例分析

A Clinical Analysis of 82 Children with Tic Disorder

目的探讨儿童抽动障碍临床表现及诊治。方法对82例小儿抽动障碍的临床资料、诊断及治疗进行分析。结果诊断为抽动障碍的82例儿童中,以男性为主,多见于学龄儿童,平均年龄为10.37岁。首发症状单独部位出现者67例。神经电生理检查,颅脑CT检查均未发现异常病灶。心理治疗对短暂性抽动障碍有效。结论本病以学龄儿童多见,早期抽动常单独部位出现,临床上还没有特征性的诊断指标,强调对家长及患儿进行心理治疗。

Objective To explore the clinical symptom and treatment of children with tic disorder. Methods The clinical data, manifestations and treatment of 82 patients were analysed. Results Most of the 82 children were male school age pupils averaging 10. 37 years. The first symptom occurred only in one part in 67 cases. No topical lesions were with EEG and MRI in all the cases. Psychotherapy was effective for TTD. Conclusion The disease was often seen in school age children. It often occurred only in one part at early stage. There is no characteristic clinical diagnostic index of TD. The psychotherapy of parents and children should be emphasized.