氟哌啶醇联合心理治疗小儿抽动症的临床疗效

Clinical Effect of Haloperidol Combined with Psychotherapy in Children with Tic Disorder

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(3)
作者
作者单位

河南大学第一附属医院 ;

摘要
探讨氟哌啶醇联合心理治疗小儿抽动症的临床疗效。方法 选择本院2016年2月-2019年8月80例抽动症患儿为研究对象,随机分为两组。对照组给予氟哌啶醇治疗,观察组在此药物基础上开展心理治疗,连续治疗8周。治疗前后评价耶鲁综合抽动严重程度量表(YGTSS)以及儿童自我意识量表(PHCSS),参照YGTSS评分改善率比较两组综合疗效。结果 两组治疗后PHCSS评分均显著降低,PHCSS评分显著升高,且治疗后观察组PHCSS评分显著低于对照组,PHCSS评分显著高于对照组,差异均有统计学意义(P<0.05);观察组治疗总有效率显著高于对照组,差异具有统计学意义(P<0.05);两组不良反应发生率差异无统计学意义(P>0.05)。结论 氟哌啶醇治疗小儿抽动症能够获得较为良好的临床疗效,在此药物治疗基础上开展心理治疗能够帮助患儿提升自我意识,减轻抽动严重程度。
Abstract
Objective To discuss the clinical effect of haloperidol combined with psychotherapy in children with tic disorder. Methods Eighty cases of pediatric patients with tic disorder from February 2016 to August 2019 were selected as the research objects and randomly divided into two groups. The control group was treated with haloperidol, and the observation group developed psychological treatment based on this drug for 8 weeks. The Yale syndrome severity scale (YGTSS) and the childrens self-awareness scale (PHCSS) were evaluated before and after treatment, and the comprehensive efficacy was compared between the two groups with reference to the YGTSS score improvement rate. Results After treatment, the PHCSS scores in both groups were significantly reduced, and the PHCSS scores were significantly increased. After treatment, the PHCSS scores in the observation group were significantly lower than those in the control group, and the PHCSS scores were significantly higher than those in the control group. The differences were statistically significant (P <0.05); The total effective rate of treatment in the group was significantly higher than that in the control group, and the difference was statistically significant (P <0.05); there was no significant difference in the incidence of adverse reactions between the two groups (P> 0.05). Conclusion Haloperidol can achieve better clinical effects in treating tic disorders in children. Psychotherapy based on this drug treatment can help children improve their self-awareness and reduce the severity of tics.
关键词
氟哌啶醇;心理护理;心理治疗;小儿抽动症
KeyWord
Haloperidol; Psychological Care; Psychological Treatment; Tics in Children
基金项目
页码 498-500
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张宏*. 氟哌啶醇联合心理治疗小儿抽动症的临床疗效 [J]. 国际精神病学杂志. 2020; 47; (3). 498 - 500.

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