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目的 为量化评估儿童抽动障碍症状的严重程度,翻译并初步应用耶鲁抽动症整体严重度量表(YaleGlobalTicSeverityScale,YGTSS)。方法 对72例抽动障碍病儿分别于治疗前和治疗2周后作YGTSS抽动评分,同时由病儿或监护人按显效、有效和无效自行评定疗效。比较72例患儿中三种不同类型(暂时性抽动,慢性抽动和抽-秽语综合征)之间的积分差别,比较三组不同疗效病儿之间YGTSS积分变化的差别。结果 治疗开始前暂时性抽动、慢性抽动和抽动-秽语综合征三种类型间YGTSS积分明显差异(F=59.31,P<0.01),治疗2周后YGTSS积分进步率与自行评定疗效相一致(F=12444,P<0.01)。结论 YGTSS积分与病儿病情的轻重程度是一致的,确能较客观量化地反映抽动症状的严重程度。
Objective To quantitatively assess the severity of tic disorder in children and to translate and initially apply the Yale Global Tic Severity Scale (YGTSS). Methods Seventy - two children with tic disorder were treated with YGTSS twitch before treatment and two weeks after treatment respectively. At the same time, the curative effect was evaluated by the sick child or guardian according to markedly effective, effective and ineffective. Differences in the integrals of three different types (transient tic, Tourette’s syndrome) in 72 children were compared and the differences in YGTSS scores between the three groups were compared. Results There were significant differences in YGTSS scores between the three types of chronic tic and Tourette’s syndrome before treatment (F = 59.31, P <0.01). After 2 weeks of treatment, the progress rate of YGTSS was consistent with the self-rated efficacy (F = 12444, P <0.01). Conclusion The YGTSS score is consistent with the severity of sick children, and can indeed reflect the severity of tics more objectively and quantitatively.