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目的:研究甲状腺B超异常儿童青少年精神障碍患者一般临床资料的特征。方法:对2015年3月至2016年6月在我院儿少科住院、年龄≤18岁行甲状腺B超共236例进行调查。结果:被试甲状腺B超异常检出率为20.8%。甲状腺异常组与非异常组的性别(χ~2=5.089,P<0.05)、族别(χ~2=4.824,P<0.05)、治疗情况及精神疾病诊断差异有统计学意义;两组年龄、治疗疗效差异无统计学意义。甲状腺异常组的前3位疾病诊断为:抑郁发作、精神分裂症及双相情感障碍。结论:儿童青少年精神疾病患者中甲状腺异常的患病率较高,以女性患者为主,汉族多见,抑郁发作患者更易共病甲状腺异常,治疗以心境稳定剂联合精神病药物治疗为主。
Objective: To study the characteristics of general clinical data of mental disorders in children with thyroid B-ultrasonography. Methods: From March 2015 to June 2016 in our hospital pediatric hospitalization, aged ≤ 18-year-old total of 236 cases of thyroid ultrasound were investigated. Results: The detection rate of thyroid abnormalities was 20.8%. There were significant differences in the diagnosis and treatment of mental disorders between the two groups (χ ~ 2 = 5.089, P <0.05), and the gender (χ ~ 2 = 4.824, , The difference was not statistically significant. Thyroid abnormalities in the first three groups of diseases diagnosed as: depression, schizophrenia and bipolar disorder. Conclusion: The prevalence of thyroid abnormality in children and adolescents with mental illness is higher than that in female patients. Han people are more common and patients with depression are more likely to have comorbid thyroid gland abnormalities. The treatment is mainly based on the combination of mood stabilizer and psychiatric medication.