Đặc điểm lâm sàng Tic âm thanh ở hội chứng Tourette

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Tác giả: Minh Tâm Dương, Nguyễn Ngọc Trần

Ngôn ngữ: Vie

Ký hiệu phân loại: 617.51 *Head

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam) 2022

Mô tả vật lý: 148-153

Bộ sưu tập: Metadata

ID: 394041

Thêm vào giỏ Liên kết toàn văn

Nghiên cứu rối loạn Tic ở trẻ có hội chứng Tourette với mục tiêu mô tả đặc điểm lâm sàng Tic âm thanh ở trẻ được chẩn đoán mắc hội chứng Tourette bằng phương pháp mô tả cắt ngang ở 77 trẻ đến khám lần đầu tiên tại phòng khám chuyên khoa Tâm thần, Bệnh viện Nhi Trung ương, có tuổi dưới 18, được chẩn đoánxác định hội chứng Tourette (F95.2) theo tiêu chuẩn chẩn đoán của ICD 10. Kết quả: phần lớn các động tác tic âm thanh khởi phát khi trẻ dưới 7 tuổi: 62,3%, chỉ có 1,3% trẻ khởi phát ở tuổi trên 11. Phần lớn bệnh nhân nhận được chẩn đoán hội chứng Tourette ở lứa tuổi 8 - 11 (55,8%). Các triệu chứng tic âm thanh đơn giản xuất hiện đa dang: hắng giọng là biểu hiện gặp nhiều nhất, nhiều hơn rõ rệt so với các biểu hiện khác: 66,2%)
tiếp theo khịt mũi: 18,2% và khạc: 15,6%. Chỉ có 3 triệu chứng Tic âm thanh phức tạp xuất hiện, đó là: nói tục: 2,6%
nói lắp bắp:2,6% và phát âm không rõ: 1,3%). Kết luận: Phát hiện sớm các triệu chứng tic âm thanh là điều quan trọng trong chẩn đoán chính xác hội chứng Tourette, để từ đó bệnh nhân có thể được điều trị kịp thời., Tóm tắt tiếng anh, Study aims to describe clinical features of vocal tics in children with Tourette syndrome. This is a cross-sectional study enrolled 77 children under 18 years olds, in the first diagnostic of Tourette syndrome (F95.2) at the outpatient clinic, Department of Psychiatry, National Children's Hospital. Results: In majority of cases, onset of vocal tics was before the age of 7, (62.3%). There is only 1,3% of patients have first symptoms after the age of 11. Most children were given diagnosis of Tourette syndrome between 8 and 11 years old (55.8%). There are 11 simple vocal tics were observed. The most common was throat clearing (66.2%), followed by snorting (18.2%) and spitting 15.6%. In our study, only 3 complex vocal tics occured in children with Tourette syndrome, including profanity (2.6%) and stuttering (2.6%) and unclear pronunciation (1.3%). Conclusion: Recognizing vocal tics are very important in early diagnosis of Tourette syndrome, which helps patients treated appropriately.

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