认知行为干预联合脑电生物反馈治疗抽动障碍患儿问题行为的影响

Effect of cognitive behavioral intervention combined with electroencephalogram biofeedback on behavior problems in children with tic disorders

目的探讨认知行为干预联合脑电生物反馈治疗抽动障碍患儿问题行为的影响。方法选择该院在2014年9月‐2017年8月收治的100例抽动障碍患儿进行研究。采用随机数字表法将患儿分为两组,每组各50例。两组均根据临床表现给予常规药物治疗,对照组加以认知行为干预,观察组在此基础上联合脑电生物反馈治疗。以疗效评价、耶鲁综合抽动严重程度量表(YGTSS)评分及问题行为作为评价指标。结果疗效判定结果显示观察组总有效率明显高于对照组(92.00%vs. 76.00%)(P <0.05)。治疗后两组患儿运动性抽动评分、发声性抽动评分及Coners父母问卷得分均明显下降(P <0.05),且观察组下降更为明显(P <0.05)。结论认知行为干预联合脑电生物反馈治疗较单独进行认知行为干预可明显提高抽动障碍患儿的治疗效果,降低YGTSS评分、改善问题行为。

【Objective】To investigate the effect of cognitive behavioral intervention combined with EEG biofeedback on the behavior of children with tic disorder.【Methods】A total of 100 children with tic disorder admitted to our hospital from September 2014 to August 2017 were enrolled in this study. The children were divided into two groups using random number table method, 50 cases in each group. Both groups were given conventional drug treatment according to clinical manifestations, and the control group were given cognitive behavioral intervention. On the basis of this, the observation group was treated with EEG biofeedback.Efficacy evaluation, Yale Global Tic Severity Scale(YGTSS) score and behavioral problems were selected as evaluation indicators. 【Results】The curative effect evaluation showed that the total effective rate of the observation group was significantly higher than that of the control group(92.00% vs. 76.00%)(P <0.05). After treatment, the scores of motor tics, vocal twitch scores and Coners parents questionnaire score decreased significantly in both groups(P <0.05), and the decrease in the observation group was more obvious(P <0.05).【Conclusion】Cognitive behavioral intervention combined with EEG biofeedback therapy can improve the therapeutic effect, reduce the YGTSS score and improve the problem behavior in children with tic disorder.