抽动障碍患儿的生理心理特点及其家庭环境因素分析

发布时间：2019-03-29 10:54

【摘要】：目的探讨抽动障碍儿童的临床、心理特点及家庭的功能、环境情况。方法选择2013年9月至2015年8月该院儿科门诊诊断为抽动障碍的儿童100例(抽动障碍组)和健康儿童100例(对照组)。观察抽动障碍患儿的临床特点,比较抽动障碍组儿童和对照组儿童自我意识量表评分、家庭功能评分和家庭环境评分情况。结果抽动障碍儿童的临床症状有头面部抽动、喉间异常发声、颈肩部抽动、四肢和腹部抽动等,发生率最高的抽动症状为眨眼(64.0%),其次为吸鼻子和清嗓子声,发生率分别为37.0%和28.0%。抽动障碍组的焦虑评分高于对照组(P0.05);抽动障碍组儿童的躯体外貌与属性评分、幸福与满足评分、合群评分及总评分均低于对照组(P0.05)。抽动障碍组家庭角色评分、沟通评分、行为控制评分、情感介入评分、情感反应评分和总功能评分均高于对照组(P0.05)。抽动障碍组家庭矛盾性评分高于对照组(P0.05);抽动障碍组家庭娱乐性评分、知识性评分、亲密度评分、情感表达评分、组织性评分和道德宗教性评分均低于对照组(P0.05)。结论抽动障碍儿童的临床症状以眨眼、吸鼻子和清嗓子为主;抽动障碍儿童自我意识量表评分总分低,焦虑评分高;抽动障碍儿童存在不良的家庭功能和家庭环境。
[Abstract]:Objective To study the clinical, psychological characteristics and family function and environment of children with dystotic disorder. Methods One hundred and one (100) children (control group) were selected from September,2013 to August,2015 in the diagnosis of children's outpatient department. To observe the clinical characteristics of children with dysuria, and to compare the self-awareness scale scores, family function scores and family environment scores of children and control group. Results The clinical symptoms of children with dysuria had the head facial spasm, the abnormal sound of the larynx, the movement of the neck and the shoulder, the movement of the limbs and the abdomen and so on. The highest incidence was the blink (64.0%), followed by the suction nose and the clear throat, with the incidence of 37.0% and 28.0%, respectively. The scores of body appearance and property, happiness and satisfaction of children were lower than that in the control group (P0.05). The scores of family role, communication score, behavior control score, emotion intervention score, emotion response score and total function score were higher than that in control group (P0.05). The scores of the family and the scores of the family, the scores of the knowledge, the scores of the relative density, the score of the emotional expression, the degree of the organization and the degree of moral and religious were lower than that of the control group (P0.05). Conclusion The clinical symptoms of children with stroke disorder are mainly in the blink, the nose and the clear throat, the score of self-awareness of the children with the disorder is low, the anxiety score is high, and the children with the disorder of the disorder have poor family function and family environment.
【作者单位】：余姚市人民医院儿科;
【分类号】：R749.94

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