ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2024, Vol. 16 ›› Issue (1): 54-57.

• 临床研究 • 上一篇    下一篇

脊柱侧弯与儿童抽动障碍症状的相关性研究

  

  • 出版日期:2024-02-25 上线日期:2024-03-13

A study of the correlation between scoliosis and symptoms of tic disorder in children

  • Published:2024-02-25 Online:2024-03-13

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摘要： 目的 探讨儿童抽动障碍中运动抽动症状及抽动严重程度与脊柱侧弯的关系。方法 选取2022年7～11月就诊于山东中医药大学附属医院儿科确诊为抽动障碍的患儿60例为研究对象。根据研究对象有无颈肩、躯干抽动症状分为颈肩躯干抽动组40例和无颈肩躯干抽动组20例。筛选后行站立位脊柱X线正侧位检查，分析脊柱侧弯与颈肩、躯干抽动症状和抽动严重程度的关系。结果 (1)颈肩躯干抽动组脊柱侧弯26例(65%),无脊柱侧弯14例(35%);无颈肩躯干抽动组脊柱侧弯5例(25%),无脊柱侧弯15例(75%),两组有无脊柱侧弯比较差异有统计学意义(P=0.003)。(2)多因素Logistic回归分析结果显示，脊柱侧弯角度对抽动严重程度的影响存在着统计学差异(OR=1.16,95%CI 1.04～1.30,P=0.01)。结论 脊柱侧弯与颈肩、躯干抽动症状有关，且脊柱侧弯角度与抽动严重程度具有相关性。

关键词: 抽动障碍, 脊柱侧弯, 相关性, 儿童

Abstract: ObjectiveTo explore the relationship between symptoms of tic disorder(TD) and scoliosis, and the relationship between tic severity and scoliosis in children.MethodsA total of 60 children diagnosed with TD in the Department of Pediatrics of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine from July to November of 2022 were selected as the study subjects. According to whether the study subjects had neck, shoulder and trunk tic symptoms, they were divided into TD1 group(n=40,with neck, shoulder and trunk tics) and TD2 group(n=20,without neck, shoulder and trunk tics). After screening, a standing spine X-ray was performed and correlation of scoliosis with head, neck and trunk symptoms as well as with tic severity was analyzed.ResultsThere were 26 cases of scoliosis(65%) in TD1 group and 14 cases of no-scoliosis(35%);there were 5 cases of scoliosis(25%) and 15 cases of no-scoliosis(75%) in TD2 group. (1)The difference in scoliosis between the TD1 group and the TD2 group was statistically significant(P=0.003). (2)The results of multivariate logistic regression analysis showed that there was a statistically significant difference in the effect of scoliosis angle on tic severity (OR=1.16, 95%CI 1.04-1.30, P=0.01).ConclusionScoliosis is associated with symptoms of neck, shoulder and trunk tics, and scoliosis angle correlates with tic severity.

Key words:

Tic disorders, Scoliosis, Correlation, Children