沙盘游戏联合泰必利治疗儿童多发性抽动症的疗效研究
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【摘要】 目的 探讨沙盘游戏联合泰必利治疗儿童多发性抽动症的疗效研究。方法 30例多发性抽动症儿童被随机分配到治疗组和对照组。治疗组采用泰必利口服，疗程12周，剂量50~100 mg/次，3次/d，同时接受8次沙盘游戏治疗，1次/周，50 min/次；对照组口服单药泰必利，剂量同治疗组。治疗前和治疗后应用耶鲁抽动症严重程度评分量表(YGTSS)观察抽动总分的变化情况，对沙盘游戏联合泰必利治疗儿童多发性抽动症的疗效进行评价。结果 经过12周治疗后，治疗组YGTSS总分从治疗前(24.13±4.19)分下降至治疗末的(9.07±4.32)分；对照组从治疗前(23.93±4.35)分下降至(12.27±3.71)分。两组相比在治疗第12周末YGTSS总分差异有统计学意义(P< 0.01)。结论 沙盘游戏联合泰必利能有效治疗儿童多发性抽动症。
【关键词】 多发性抽动症；沙盘游戏疗法；疗效；儿童
Effect of sandplay therapy combined with Tiapride in treatment of
childhood tourette syndrome
ZHANG Li-bin, ZHANG Xiao-lei, HUANG Gang, et al.Department of Pediatrics, The Affiliated Hospital of Guangdong Medical College, Zhanjiang 524001,China
【Abstract】 Objective
To explore the value of sandplay therapy combined with Tiapride in treatment of childhood tourette syndrome. Methods 30 TS cases were separated into treatment group and control group randomly. The treatment group were given both of sandplay therapy and Tiapride. The sandplay was used 8 times for the treatment group and was interfered once a week and about 50 minutes every time. But for the control group there was only with Tiapride as the same dose. The Yale Global Tic Severity Scale was used to record the changes of the attachment before and after the treatment, so as to evaluate the curative effect of the combination of sandplay therapy and tiapride. Results After 12 week treatment, YGTSS total scores of the treatment group decreased from(24.13±4.19)to(9.07±4.32)at the end of treatment, and the control group decreased from(23.93±4.35)to(12.27±3.71). YGTSS total score difference was statistically significant between two groups at the end of 12 weeks treatment(P<0.01). Conclusion A combined administration of both sandplay therapy and Tiapride would be more effective for the treatment of childhood tourette syndrome.
【Key words】 Tourette syndrome; Sandplay therapy; Effect;Children
抽动障碍是儿童期常见的运动性障碍，主要表现为简单或复杂的不自主、突发、快速、重复、非节律性、刻板的单一或多部位肌肉运动或发声[1]。抽动障碍的发病率近年有逐渐上升趋势，其共患心理行为问题常与该病形成恶性循环，严重威胁患儿的身心健康[2]。泰必利是治疗抽动障碍的首选药物之一，能有效改善症状，且副作用较小,但因单纯的泰必利治疗对多发性抽动症伴随的心理行为问题无作用，故易复发；沙盘游戏是一种无副作用、依从性高的心理治疗方法[3~4]。本研究通过探讨沙盘游戏联合泰必利对儿童多发性抽动症的治疗效果，旨在为儿童多发性抽动症的治疗寻找更好的方法。
1 资料与方法
1.1 一般资料 根据中国精神疾病和诊断标准第3版(CCMD3))中儿童抽动障碍的诊断标准[5], 由2位有临床经验的儿科医师于2009年9月至2011年1月从某省级医院就诊患儿中诊断出多发性抽动症的儿童30例 ......
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