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[抽动障碍患者从儿童期到成年期过渡期间的照护连续性]

[Care continuity for patients with tic disorders during transition from childhood to adulthood].

作者信息

Kano Yukiko

机构信息

Department of Child Psychiatry, The University of Tokyo Hospital.

出版信息

Nihon Rinsho. 2010 Jan;68(1):114-8.

Abstract

Chronic tic disorders including Tourette syndrome are defined as disorders with tics continuing for over a year. Although a substantial portion of patients with chronic tic disorders have improvement or remission of their tics until adulthood, some of them still have necessity to receive treatment for tic disorders in adulthood. Regardless of age and severity of tics, basic treatment for tic disorders consists of psycho-education and family guidance which encourage patients and people around them to understand, accept and cope with tics appropriately. In most of the adult cases with tic disorders who require aggressive treatment, tics and/or comorbidities including obsessive-compulsive symptoms are so severe that they usually have medication including antipsychotics.

摘要

包括抽动秽语综合征在内的慢性抽动障碍被定义为抽动持续超过一年的疾病。尽管相当一部分慢性抽动障碍患者的抽动症状在成年前会有所改善或缓解,但其中一些人在成年后仍有必要接受抽动障碍治疗。无论抽动的年龄和严重程度如何,抽动障碍的基本治疗包括心理教育和家庭指导,鼓励患者及其周围的人适当地理解、接受和应对抽动症状。在大多数需要积极治疗的成年抽动障碍病例中,抽动症状和/或包括强迫症状在内的共病非常严重,以至于通常需要使用包括抗精神病药物在内的药物进行治疗。

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