首页|脑电生物反馈疗法联合可乐定透皮贴片对抽动障碍患儿抽动严重程度及执行功能的影响

脑电生物反馈疗法联合可乐定透皮贴片对抽动障碍患儿抽动严重程度及执行功能的影响

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目的 探讨脑电生物反馈疗法联合可乐定透皮贴片治疗儿童抽动障碍(TD)的临床效果.方法 选择2022 年 4月—2023 年 4 月潍坊市妇幼保健院收治的 100 例TD患儿为研究对象,按随机数字表法将其分为对照组和观察组,每组 50 例.对照组采用可乐定透皮贴片治疗,观察组在此基础上采用脑电生物反馈疗法.对比两组患儿的临床疗效、抽动障碍严重程度、执行功能、问题行为及运动功能.结果 观察组的治疗总有效率为 96.00%,高于对照组的74.00%,差异有统计学意义(P<0.05).治疗 3 个月后,观察组的耶鲁抽动症整体严重度量表评分低于对照组,差异有统计学意义(P<0.05).治疗 3 个月后,观察组的行为管理指数及元认知功能指数评分均低于对照组,组间差异有统计学意义(P<0.05).治疗 3 个月后,观察组的Coners父母问卷评分低于对照组,差异有统计学意义(P<0.05).治疗 3 个月后,观察组的Fugl-Meyer运动功能评定量表评分高于对照组,差异有统计学意义(P<0.05).结论 采用脑电生物反馈疗法联合可乐定透皮贴片治疗TD患儿的效果显著,能减轻其抽动严重程度,改善其问题行为、执行功能、运动功能.
Effect of EEG Biofeedback Therapy Combined with Clonidine Transdermal Patch on Tic Severity and Executive Function in Children with Tic Disorder
Objective To investigate the clinical effect of EEG biofeedback therapy combined with clonidine transdermal patch in the treatment of tic disorder(TD)in children.Methods 100 TD children admitted to Weifang Maternal and Child Health Hospital from April 2022 to April 2023 were selected as the research objects,divided them into a control group and an observation group according to random number table method,with 50 cases in each group.The control group was treated with clonidine transdermal patch,and the observation group was treated with EEG biofeedback therapy on this basis.The clinical efficacy,tic disorder severity,executive function,problem behavior and motor function were compared between the two groups.Results The total effective rate of the observation group was 96.00%,which was higher than 74.00%of the control group,the difference was statistically significant(P<0.05).After 3 months of treatment,the Yale global tie severity scale score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After 3 months of treatment,the scores of behavior management index and metacognitive function index in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After 3 months of treatment,the Coners parental questionnaire score in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After 3 months of treatment,the Fugl-Meyer assessment score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion EEG biofeedback therapy combined with clonidine transdermal patch is effective in the treatment of TD children,which can reduce the tic severity and improve the problem behavior,executive function and motor function.

Tic disorder in childrenEEG biofeedback therapyClonidine transdermal patchTic severityExecutive function

武婷婷

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潍坊市妇幼保健院儿童保健科,山东潍坊 261011

儿童抽动障碍 脑电生物反馈疗法 可乐定透皮贴片 抽动严重程度 执行功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(7)