硫必利联合心理治疗对抽动症患儿心理状态、自我意识的影响

Effects of tiapride combined with psychotherapy on the psychological state and self-awareness of children with tic disorder

摘要:

目的 探讨硫必利联合心理治疗对抽动症患儿的心理状态、自我意识的影响。方法 选取2021年12月—2024年12月连云港市第一人民医院收治的98例抽动症患儿。根据治疗方法分为硫必利组和联合组，每组49例。硫必利组给予硫必利治疗，联合组在硫必利组的基础上给予心理治疗，比较两组一般资料、临床疗效、心理状态、抽动程度及自我意识。结果 联合组总有效率高于硫必利组（P <0.05）。联合组治疗前后神经精神症状精神状况评定量表、医院焦虑抑郁量表评分的差值均大于硫必利组（P <0.05）。联合组治疗前后耶鲁大体抽动严重程度量表评分的运动性抽动、发声性抽动、总分项的差值均大于硫必利组（P <0.05）。联合组治疗前后皮尔-哈里斯儿童自我概念量表评分的行为、合群、焦虑、躯体外貌、幸福与满足、智力与学校项的差值均大于硫必利组（P <0.05）。结论 硫必利联合心理治疗对抽动症患儿的心理状态、自我意识的影响较为显著。

Abstract:

Objective To investigate the effects of a combination of tiapride and psychotherapy on the psychological state and self-awareness of children with tic disorder.Methods A total of 98 children with tic disorder admitted to The First People's Hospital of Lianyungang between December 2021 and December 2024 were selected. The patients were divided into a tiapride group and a combined therapy group, with 49 cases in each group. The tiapride group received tiapride treatment, whilst the combined therapy group received tiapride plus psychotherapy. The two groups were compared in terms of general characteristics, clinical efficacy, psychological state, tic severity and self-awareness.Results The overall response rate was higher in the combined therapy group than in the tiapride group (P < 0.05). The differences in MSNSS and HADS scores before and after treatment were greater in the combined therapy group than in the tiapride group (P < 0.05). The differences in motor tic, vocal tic, and total scores of the YGTSS before and after treatment were greater in the combined therapy group than in the tiapride group (P < 0.05). The differences in behavioral adjustment, popularity, anxiety, physical appearance and attributes, happiness and satisfaction, and intellectual and school status scores of the PHCSS before and after treatment were greater in the combined therapy group than in the tiapride group (P < 0.05).Conclusion The combination of tiapride and psychotherapy has a significant effect on the psychological state and self-awareness of children with tic disorder.