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目的 探讨伴与不伴注意缺陷多动障碍 (ADHD)的Tourette综合征 (TS)患儿之间行为和抽动症状的差异。方法 采用儿童行为调查表 (CBCL)和耶鲁综合抽动严重程度量表 (YGTSS)对 30例单纯TS患儿和 38例伴ADHD的TS(TS +ADHD)患儿进行评分、对比分析。结果 TS +ADHD组社交情况评分低于单纯TS组 (P <0 0 5 ) ,TS +ADHD组在违纪问题、攻击性问题、外向性问题和行为问题总分的评分高于单纯TS组 (P <0 0 5 ) ;TS+ADHD组的注意问题评分显著高于单纯TS组 (P <0 0 1)。TS +ADHD组YGTSS量表的运动抽动对正常行为干扰和总分比单纯TS组评分高 (P <0 0 5 )。结论 TS +ADHD患儿与单纯TS患儿存在差异 ,TS +ADHD患儿比单纯TS患儿存在更加严重的外向性行为问题和注意问题 ,两组的抽动症状差异不明显。
Objective To investigate the differences of behavior and tics between Tourette syndrome (TS) patients with and without attention deficit hyperactivity disorder (ADHD). Methods Thirty children with TS and 38 children with TS (ADHD + ADHD) who had ADHD were scored and analyzed by using Child Behavior Checklist (CBCL) and Yale Tic Tac-Tolerance Scale (YGTSS). Results The score of social condition in TS + ADHD group was lower than that in TS group (P <0.05). The scores of disciplinary problems, aggression problems, extroversion problems and behavior problems in TS + ADHD group were higher than those in TS group <0 0 5). The scores of attention problems in TS + ADHD group were significantly higher than those in TS group (P <0.01). The twitch of YGTSS scale in TS + ADHD group had higher interference with normal behavior and score than TS group (P <0.05). Conclusion There are differences between children with TS + ADHD and those with simple TS. Children with TS + ADHD have more serious extroversion behavior and attention problems than those with TS alone. There is no significant difference in tic symptoms between the two groups.