| 注意缺陷多动障碍儿童共患抽动障碍临床特征及影响因素分析 |
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| 引用本文： | 周克英,肖智辉,陈言钊,张朝霞,刘智屏,杨春何,高美好. 注意缺陷多动障碍儿童共患抽动障碍临床特征及影响因素分析[J]. 中国当代儿科杂志, 2014, 16(9): 892-895. DOI: 10.7499/j.issn.1008-8830.2014.09.005 |
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| 作者姓名： | 周克英 肖智辉 陈言钊 张朝霞 刘智屏 杨春何 高美好 |
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| 作者单位： | 周克英;1., 肖智辉;1., 陈言钊;1., 张朝霞;1., 刘智屏;1., 杨春何;1., 高美好;2. |
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| 基金项目： | 深圳市科技计划项目（200902015），深圳市知识创新计划项目（20140327234100）。 |
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| 摘 要： | 目的 分析注意缺陷多动障碍（ADHD）儿童共患抽动障碍（TD）的临床特征及影响因素。方法 观察 312 名 ADHD 儿童共患 TD 情况，分析 ADHD 共患 TD 类型、不同亚型 ADHD 患儿的 TD 共患率，并对 13 个 ADHD 儿童共患 TD 的可能影响因素进行了单因素及多因素 logistic 回归分析。结果 312 名 ADHD儿童共患 TD 42 例（13.5%），ADHD 混合型（ADHD-C）TD 的共患率为 24.1%，高于 ADHD 多动-冲动型（ADHD-HI，10.9%）和 ADHD 注意缺陷型（ADHD-I，8.8%）患儿（P结论 ADHD 共患 TD 受多种因素影响，应早期针对主要的危险因素进行干预。
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| 关 键 词： | 注意缺陷多动障碍 抽动障碍 临床特征 危险因素 儿童 |
| 收稿时间： | 2014-06-23 |
| 修稿时间： | 2014-07-19 |
Clinical features and risk factors of co-morbid tic disorder in children with attention deficit hyperactivity disorder |
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| ZHOU Ke-Ying,XIAO Zhi-Hui,CHEN Yan-Zhao,ZHANG Zhao-Xi,LIU Zhi-Ping,YANG Chun-He,GAO Mei-Hao. Clinical features and risk factors of co-morbid tic disorder in children with attention deficit hyperactivity disorder[J]. Chinese journal of contemporary pediatrics, 2014, 16(9): 892-895. DOI: 10.7499/j.issn.1008-8830.2014.09.005 |
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| Authors: | ZHOU Ke-Ying XIAO Zhi-Hui CHEN Yan-Zhao ZHANG Zhao-Xi LIU Zhi-Ping YANG Chun-He GAO Mei-Hao |
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| Affiliation: | ZHOU Ke-Ying;1., XIAO Zhi-Hui;1., CHEN Yan-Zhao;1., ZHANG Zhao-Xia;1., LIU Zhi-Ping;1., YANG Chun-He;1., GAO Mei-Hao;2. |
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| Abstract: | Objective To study the clinical features and risk factors of co-morbid tic disorder（TD) in children with attention deficit hyperactivity disorder（ADHD). Methods A total of 312 children with ADHD were involved in this study. Subtypes of co-morbid TD, incidences of TD in different subtypes of ADHD（ADHD-I, ADHD-HI and ADHD-C) were observed. Thirteen potential factors influencing the comorbidity rate of TD in ADHD were evaluated by univariate analysis and multiple logistic regression analysis. Results Forty-two of 312 children with ADHD suffered from co-morbid TD（13.5%). Comorbidity rate of TD in children with ADHD-C（24.1%) was significantly higher than in those with ADHD-HI（10.9%) and ADHD-I（8.8%)（POR=7.000, POR=2.564,PConclusion The incidence of co-morbid TD in children with ADHD is influenced by many factors, and early interventions should be performed based on the main risk factors. |
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| Keywords: | Attention deficit hyperactivity disorder|Tic disorder|Clinical feature|Risk factor|Child |
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