神经性厌食住院儿童患者的病例分析

发布时间：2018-05-14 06:56

本文选题：神经性厌食 + 暴食/清除型　；参考：《中国心理卫生杂志》2014年09期

【摘要】：目的:了解住院治疗的神经性厌食儿童的临床特征。方法:北京大学第六医院2008年-2012年住院治疗的神经性厌食患儿58例,按是否伴有暴食/清除行为分为暴食/清除型(28例)和限制型(30例)两组,通过既往病历对所有患儿的病前个性特征、社会心理因素、起病年龄、病程、饮食相关行为、情绪症状、躯体症状、辅助检查、共病情况等进行系统回顾。结果:神经性厌食儿童起病较早,最早起病年龄7岁;病前91.4%存在怕胖心理;32.8%存在体像障碍,48.3%有暴食/清除行为;96.6%存在情绪症状,36.2%存在行为问题;86.2%存在躯体症状。暴食/清除型患儿起病和住院年龄均大于限制型患儿(P0.05),入院时体质量、体质量指数(BMI)均高于限制型患儿(均P0.05),恐惧症状少于限制型患儿,偷窃行为多于限制型患儿,误学时间长于限制型患儿(均P0.05),其余变量两组间差异无统计学意义(均P0.05)。结论:神经性厌食儿童起病较早,除具有神经性厌食的核心症状外,常伴有情绪症状、行为问题、躯体损害。神经性厌食暴食/清除型与限制型儿童具有相似的临床特征。
[Abstract]:Objective: to investigate the clinical features of inpatients with anorexia nervosa. Methods: Fifty-eight children with anorexia nervosa, hospitalized in the sixth Hospital of Peking University from 2008 to 2012, were divided into two groups according to whether they were accompanied by gluttony / clearance (28 cases) and restricted type (30 cases). The preclinical personality characteristics, psychosocial factors, onset age, course of disease, diet related behavior, emotional symptoms, somatic symptoms, auxiliary examinations and co-illness were systematically reviewed in all previous medical records. Results: the onset of neurotic anorexia was earlier, the earliest onset age was 7 years old, 91.4% of the children had obesity fear psychological disorder (32.8%), 48.3% (48.3%) had overeating / clearing behavior and 36.2% (36.2%) had emotional symptoms and 86.2% (86.2%) had physical symptoms. The onset and hospitalization age of the patients with overeating / clearing type was higher than that of the patients with restricted type, and the body mass and body mass index (BMIs) at admission were higher than those with restriction type (all P0.05, the symptom of fear was less than that of the limited type, and the behavior of theft was more than that of the limited type). The time of misstudy was longer than that of restricted children (all P 0.05), but there was no significant difference between the other two groups (P 0.05). Conclusion: children with anorexia nervosa have early onset of disease. In addition to the core symptoms of anorexia nervosa, they are often accompanied by emotional symptoms, behavioral problems and physical damage. Anorexia nervosa / clearance type and restricted children have similar clinical characteristics.
【作者单位】：北京大学第六医院;北京大学精神卫生研究所;卫生部精神卫生学重点实验室(北京大学);江西省赣州市第三人民医院;辽宁省大连市第七人民医院;
【分类号】：R749.7

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