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目的观察结构式家庭疗法结合氯咪帕明对儿童强迫症的疗效。方法对29例单用氯咪帕明的治疗效果不佳的儿童强迫症患者,采用结构式家庭疗法结合氯咪帕明治疗,应用Yole-Brown强迫量表(Y-BOCS),Hamilton焦虑量表(HAMA)和临床疗效总评量表(CGI-SI)于治疗前及治疗后第2、4、8周末进行测评。以Y-BOCS减分率来评定疗效。结果疗程结束后,有效率为79.31%,各量表评分均明显下降。结论结构式家庭疗法结合氯咪帕明对强迫症有很好的疗效。
Objective To observe the effect of structured home therapy combined with clomipramine on obsessive-compulsive disorder in children. Methods 29 cases of obsessive-compulsive disorder patients with clomipramine alone were treated with structured home therapy combined with clomipramine. The Yole-Brown Occlusion Scale (Y-BOCS) and Hamilton Anxiety Scale HAMA and CGI-SI were evaluated before treatment and at the end of the 2nd, 4th, 8th week after treatment. Y-BOCS reduction rate to assess the efficacy. Results After the end of treatment, the effective rate was 79.31%, and all scales were significantly decreased. Conclusion Structural home therapy combined with clomipramine has a good effect on obsessive-compulsive disorder.