中国实用儿科杂志 ›› 2025, Vol. 40 ›› Issue (4): 298-302.DOI: 10.19538/j.ek2025040605

• 专题笔谈 • 上一篇    下一篇

儿童抽动障碍的诊断与评估

  

  1. 广州医科大学附属妇女儿童医疗中心行为发育科,广东  广州  510623
  • 出版日期:2025-04-06 发布日期:2025-05-13
  • 通讯作者: 陈文雄,电子信箱:chenwenxiong@gwcmc.org

Diagnosis and evaluation of tic disorder in children

  1. Department of Behavioral Development,Guangzhou Women and Children’s Medical Center,Guangzhou Medical University,Guangzhou  510623,China
  • Online:2025-04-06 Published:2025-05-13

摘要: 抽动障碍是一种常见的儿童神经发育障碍,分暂时性、慢性运动或发声抽动障碍及Tourette 综合征,常共患其他障碍,如注意缺陷多动障碍、强迫障碍等;易造成患者社会功能及生活质量损害,尤其对于Tourette综合征。评估宜采用多信息源资料,结合直接观察和既往信息,应包括一般情况、症状访谈及严重程度评估。耶鲁综合抽动严重程度量表临床常用。诊断基于临床表现,注意排除假性难治性抽动障碍。全面评估、早期诊断及综合治疗,是改善患儿生活质量的必经途径。

关键词: 抽动障碍, 评估, 诊断, 生活质量

Abstract: Tic disorder(TD)is a common neurodevelopmental disorder in children,which is classified into provisional tic disorder(PTD),chronic motor or vocal tic disorder(CTD),and Tourette's syndrome(TS),and often coexists with other disorders such as attention-deficit hyperactivity disorder and obsessive compulsive disorder. It is easy to cause damage to patients' social function and quality of life,especially in the children with TS.Evaluation should take multiple sources of information into consideration,combining direct observation and past information and including general information,symptom interviews,and severity assessment. The Yale Global Tic Severity Scale(YGTSS)is commonly used in clinical practice.Diagnosis is based on clinical manifestations,with attention toexcluding pseudo-refractory tic disorders. Comprehensive and thorough evaluation,early diagnosis,and comprehensive treatment are essential ways to improve patients' quality of life.

Key words: tic disorder, assessment, diagnosis, quality of life