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目的:探讨心理干预联合盐酸硫必利治疗小儿慢性抽动障碍的疗效。方法:对159例慢性抽动障碍患儿随机分为3组,分别采用盐酸硫必利联合家庭治疗组、单纯应用盐酸硫必利治疗组和单纯心理干预治疗组。结果:盐酸硫必利联合定期疾病相关知识家长培训组耶尔抽动症整体严重度量表(YGTSS)的总抽动积分(运动抽动+发声抽动,Total Tic Scale,TTS)在治疗后明显下降(P<0.05),单纯服用盐酸硫必利组和单纯心理干预治疗组耶尔抽动症整体严重度量表(YGTSS)的总抽动积分(运动抽动+发声抽动,Total Tic Scale,TTS)在治疗前后差异无统计学意义(P>0.05)。结论:盐酸硫必利联合疾病相关知识家长培训治疗儿童慢性抽动障碍较单纯药物治疗依从性、疗效明显提高。
Objective: To investigate the efficacy of psychological intervention combined with tiapride hydrochloride in children with chronic tic disorder. Methods: A total of 159 children with chronic tic disorder were randomly divided into three groups. The two groups were treated with tithilipine combined with family therapy alone, the treatment with timolol alone and the psychological intervention alone. Results: The total tic score (Total Tic Scale, TTS) of the YGTSS decreased significantly after PTSI training (P < 0.05). The total tic scores (Total Tic Scale, TTS) in YGTSS group were not significantly different between before and after treatment with thiopental alone and pure psychological intervention Significance (P> 0.05). CONCLUSION: Parental training in the treatment of children with chronic tic disorder is more effective than simple drug therapy in the knowledge of the combination of thrombol hydrochloride and the disease, and the curative effect is obviously improved.