儿童抽动症的病因分析

Etiology analysis of tic disorder in children

目的分析儿童抽动症的病因,以指导其治疗。方法对儿童抽动症患儿进行眼科检查、耳鼻喉科检查、鼻窦区摄片、头颅MRI、脑电图、微量元素、肺功能检查及支气管激发试验、气质评价、脑生物反馈检查以发现其病因。结果儿童抽动症的主要病因是精神因素,是躯体疾病后致习惯性抽动,其反复发作与儿童抽动症反复发作易并存。结论积极控制躯体疾病,减少躯体不适因素刺激后出现习惯性抽动,在儿童抽动症的治疗中很重要,临床治疗过程中将儿童抽动症的心理、药物治疗与躯体疾病的治疗同时进行可取得更好的临床效果。

Objective Analyzing the cause of tic disorder in order to provide more effective interference in children. Methods Children with tic disorder were underwent ophthalmic examination,ENT examination,X-Rays in paranasal sinus,cranium MRI,EEG,microelement test,pulmonary function test and bronchial provocation test,temperament evaluation,brain biofeedback test to clarify the cause of the disease. Results The etiological factor of tic disorder in children is psychic factor,physical disease induced mentally habitual tic,and recurrent episodes of physical disease is coexist with Tourette＇s syndrome. Conclusion Controlling physical disease actively and decreasing habitual tic after somatic complaint is very important in the therapy of tic disorder in children.Better clinical effects could be achieved by psychotherapy.Drug therapy and physical disease therapy at the same time in tic disorder.