认知行为干预联合可乐定透皮贴片对抽动障碍患儿的效果及身心的影响

Effect of clonidine combined behavioral intervention on compliance, neurological function and anxiety in children with tic disorder

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(1)
作者
作者单位

鹤壁市人民医院儿科 ;

摘要
【摘要】目的:探讨可乐定联合行为干预对抽动障碍(Tic disorder,TD)患儿依从性、神经功能及焦虑情绪的影响。方法:选取我院2020年9月至2022年12月期间101例TD患儿作为研究对象,采用随机数字表法分为药物组和综合组。药物组50例给予可乐定透皮贴片外用,综合组51例增加认知行为干预,对比两组抽动症状,依从性,神经功能及焦虑情绪,不良反应。结果:综合组干预2月末发声性抽动、运动性抽动、儿童焦虑性情绪障碍筛查表(SCARED)、Morisky量表(MAQ)、行为依从性评分水平低于药物组;运动、感觉评分高于药物组(P<0.05)。经Fisher确切概率法检验,综合组不良反应发生率1.96%(1/51)与药物组6.00%(3/50)经比较无差异(P>0.05)。结论:可乐定联合行为干预可调节TD患儿神经功能及焦虑情绪,改善抽动症状,调节依从性,具有较高安全性。
Abstract
[Abstract]Objective: To investigate the effects of clonidine combined behavioral intervention on compliance, neurological function and anxiety in children with tic disorder (TD). Method: A total of 101 children with TD in our hospital from September 2020 to December 2022 were selected as research objects and divided into drug group and comprehensive group by random number table method. Fifty cases in the drug group received clonidine transdermal patch for external use, and 51 cases in the comprehensive group received cognitive behavioral intervention. Tic symptoms, compliance, neurological function, anxiety, and adverse reactions were compared between the two groups. Results: At the end of February, the comprehensive group was lower than the drug group in vocal tic, motor tic, childrens anxiety disorders screening table (SCARED), Morisky scale (MAQ) and behavioral compliance score. Exercise and sensory scores were higher than those in drug group (P<0.05). By Fishers exact probability test, there was no difference in the incidence of adverse reactions between the general group (1.96% (1/51) and the drug group (6.00% (3/50) (P>0.05).Conclusion: Clonidine combined with behavioral intervention can regulate the neurological function and anxiety in children with TD, improve tic symptoms, regulate compliance, and have high safety.
关键词
【关键词】可乐定; 抽动障碍; 神经功能
KeyWord
[Key words]Clonidine; Tic disorder; Neural function
基金项目
页码 151-154
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李洁*. 认知行为干预联合可乐定透皮贴片对抽动障碍患儿的效果及身心的影响 [J]. 国际精神病学杂志. 2024; 51; (1). 151 - 154.

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