一篇指导抽动秽语综合征患儿治疗与护理的叙述性综述。
A narrative review to guide treatment and care for children with Tourette syndrome.
作者信息
Manbeck Christopher, Johnson Tara, Sharp Gregory
机构信息
Arkansas Children's Hospital and University of Arkansas Medical Sciences, United States.
出版信息
Brain Disord. 2023 Sep;11. doi: 10.1016/j.dscb.2023.100088. Epub 2023 Jul 26.
Abstract
Tourette syndrome is a spectrum disorder. It is primarily a disorder of childhood. Within this spectrum, we find a range of neuropsychiatric comorbidities of varying degrees, all of which are intertwined. Before we consider treatment, we must address education, which includes the individual, the family, the school, and the public. Our approach to treatment focuses on the dominant comorbidities: ADHD, mood disorders, anger/aggression, refractory tics, and finally tics only. We select medications and therapies designed to target the driving issues.
摘要
抽动秽语综合征是一种谱系障碍。它主要是一种儿童期疾病。在这个谱系中，我们发现了一系列程度不同的神经精神共病，所有这些共病都是相互交织的。在考虑治疗之前，我们必须解决教育问题，这包括个体、家庭、学校和公众。我们的治疗方法侧重于主要的共病：注意力缺陷多动障碍、情绪障碍、愤怒/攻击行为、难治性抽动，最后是仅存在抽动症状的情况。我们选择旨在针对主要问题的药物和疗法。
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