关键词: 抽动障碍, 团体行为干预, 临床疗效, 儿童

Abstract: Objective To study the treatment of systematize group behavior intervention on tic disorders (TD) child patients,and provide clinical guideline of behavior therapy on TD child patients. Method sProspective case-control method was used.132 chronic chronic tic disorders (CTD) or Tourette's syndrome (TS) child patients were chosen as research objects from child neurology clinic in our hospital,which were randomly divided into three groups as behavior intervention group (n=47),medicine treatment group (n=47) and combined intervention group (n=38).1) Intervention methods:"CHEN four stages" group-behavior intervention was designed based on psychological behavior treatment principle.Behavior intervention group adopted the group-behavior intervention,medicine treatment group adopted clonidine slow-release patch treatment,and combined intervention group combined with the group-behavior intervention and the original therapeutic dose.2)Clinical curative effect:the clinically curative effect was assessed by Yale Global Tie Severity Scale (YGTSS).3) The treatment security was assessed by Treatment Emergent Symptom Scale(TESS),and the obedience was observed during the treatment. Results 1) Comparison of clinical curative effect:YGTSS reducing rate of combined intervention group at the 4th,8th and 12th week after intervention were 41.48±16.39,53.39±16.59,67.6±19.31,which were greater than those of behavior intervention group(33.35±17.84,43.69±22.27,55.59±22.44),and were greater than those of medicine treatment group(24.79±19.94,34.49±30.79,44.13±26.57),all the differences were statistically significant (P<0.05,or <0.001).2) There were no significant differences on security and obedience assessment among three groups(all P>0.05). Conclusion There are obvious improvement in the symptoms and psychological health of TD child patients by specific group behavior intervention treatment,basing on clinical symptoms of TD child patients and the psychology characteristics of their parents.

Key words: tic disorders, group behavior intervention, clinical effect, child