目的探讨分析治疗性游戏联合心理干预在儿童多发性抽动症中的应用效果。方法将80例多发性抽动症患儿随机分为对照组和观察组,每组40例,其中对照组采用维思通治疗与常规护理,观察组在对照组的基础上应用治疗性游戏联合心理干预。采用耶鲁抽动症严重程度评分量表(YGTSS)进行综合抽动严重程度的量化评分,对治疗性游戏联合心理干预治疗儿童多发性抽动症的疗效进行评价。结果两组儿童治疗后的抽动总分较治疗前明显降低,观察组治疗后的抽动总分较对照组下降更显著,差异具有统计学意义(P<0.05);治疗后,对照组和观察组总有效率分别为52.5%、95.0%,差异具有统计学意义(P<0.05)。结论应用治疗性游戏联合心理干预治疗儿童多发性抽动症,疗效显著,值得推广。

Objective To explore the effect of herapeutic game combined with psychological intervention in the treatment of Tourette syndrome( TS) of children. Methods 80 TS cases were separated into control group( n = 40) and observation group( n = 40)randomly. The control group was given both of Risperidone tablets and conventional treatment. Observation group received combined therapies of both herapeutic game and psychological intervention. The Yale Global Tic Severity Scale( YGTSS) was used to record the changes of the attachment before and after the treatment,so as to evaluate the curative effect of the combination of herapeutic game and psychological intervention. Results YGTSS total scores of both groups after treatment were statistically lower than those of before treatment. YGTSS total score difference was statistically significant between two groups at the end of the treatment( P < 0. 05). The efficiency Percentages of control and observation group were 52. 5% and 95. 0% respectively. The efficiency Percentage difference was statistically significant between two groups( P < 0. 05). Conclusion A combined therapy of both herapeutic game and psychological intervention would be more effective for the treatment of childhood Tourette syndrome,it can be promoted.