?11 ?7ù
2009M7
中国当代儿科杂志
ChinJContempPediatr
Vol.11No.7
Jul.2009
[ là°ù]2008-10-25;[?í°ù]2008-12-16
[T?eo] B?,o,vD,?íD =。?tZ_:l8 ü。
[Y?T?]??§,3,? q,? 8| ?Dy8 S,ˉI:710068。
?÷· "5ù?
V á?i?L4í 8`?-??8??¥ r43
康华1,张月芳2,焦富勇1,郭向阳1,高晓敏1
(陕西省人民医院1.儿科;2.儿保科,陕西西安710068)
[K1]"¥"-8`?-??8??(TS)¥í ?1[ g?0t1?,?k?0t¥? Q?#
?°1~2Q g?0t?ZL,?á?8GV?μ。?ó) V á?i?L4í TS¥ "5 r????。ZE
|119 è5~17 ?TS?8s1 F,í F65 è?¨ V á?i?L4;vF54 èóí?''J? g?。4?a
43 F¥ r。 r???¨5 Zv8??×? V(YGTSS)??。2TL4í FYGTSShs q
(61.5±7.5)%,vFhs q(41.0±6.3)%, Fhs qYVχ2_μsμA÷?(P<0.05)。L4í F53
èμr,μr q181.5%,vF36 èμr,μr q167.5%,μsíA÷?。L4í F1 èCóa/?、h
Q?,T0a?ˉ。vF2 èC^¥àf ?9ú,4 èC^ _ ¤,?C。2 ? V á?i?L4
í 8`TSμ üA r,O? Q? 7^±,ZL,^?¤ s。[?S?}8 S?,2009,11(7):537-539]
[1oM] V á?i?L4;?''J?;?-??8??;8`
[?ms ?|]R748[óDS M ?]A[ócI|]1008-8830(2009)07-0537-03
EficacyofclonidinetransdermalpatchfortreatmentofTourette′ssyndromeinchil-
dren
KANGHua,ZHANGYue-Fang,JIAOFu-Yong,GUOXiang-Yang,GAOXiao-Min.DepartmentofPediatrics,Shaanxi
ProvincePeople′sHospital,Xi′an710068,China(JiaoF-Y,Email:jiaofy@yeah.net)
Abstract:ObjectiveChildrenwithTourete′ssyndrome(TS)haveapoortreatmentcomplianceduetosideeffects
andinconvenientadministrationoforaldrugs.Thisstudyexploredtheeficacyandsafetyofclonidinetransdermalpatchfor
treatingTSinchildren.MethodsAtotalof119childrenwithTSwererandomlytreatedwiththeclonidinetransdermal
patch(n=65)orwithoralhaloperidol(n=54).ThetherapeuticeficacywasassessedbasedontheresultsoftheYale
GlobalTicSeverityScale(YGTSS)4weeksaftertreatment.ResultsTheclonidinetransdermalpatchgroupshoweda
higherreductionintheoverallticsymptomscores(61.5±7.5%)thanthatinthehaloperidolgroup(41.0±6.3%;
P<0.05).Clonidinetransdermalpatchtreatmentwaseffectivein53patients(81.5%)and36patients(67.5%)
showedefectivetooralhaloperidol(P>0.05).Mildsideeffects(decreaseofbloodpressureanddizziness)were
observedin1patientintheclonidinetransdermalpatchgroup.Mildhypermyotonia,drowsinessorlassitudeassideeffects
occurredin6patientsinthehaloperidolgroup.ConclusionsClonidinetransdermalpatchiseffectiveforthetreatmentof
TSinchildrenanditssideeffectsaremildandrare.[ChinJContempPediatr,2009,11(7):537-539]
Keywords:Clonidinetransdermalpatch;Haloperidol;Tourete′ssyndrome;Child
?-??8??(Tourete′ssyndrome,TS) ^
8`èn¥ üú %h-B,?h? ?b
#,íM ??h qμ9út ],"- í?''¥]í
n @[1]。 "5è?¨l4 ?''J?F?、 üA
??0tí ,?y^C _ ¤、?C、8?"?
? Q?,?á?8GV?μ。1éB?)μr
í ZE,12004M9à2007M9,á ìü
?¥119 èTS?8sY?¨ V á?i?L4#l
4 ?''J?1í ,C??/。
1`?ZE
1.1h èê4
?¨CCMD-Ⅱ-R1??p?#TS¥?S
[2]:h?21 ?[-,v ?2~15 ?-W。
?1VC1???T?B???1??
2, ?C?h?t H?,??B?] Hi。
??1dQˉQ,+????N,? ??
?=?¥^×μ?]M?,i? si? X? ?
·537·
?11 ?7ù
2009M7
中国当代儿科杂志
ChinJContempPediatr
Vol.11No.7
Jul.2009
sòà ?l H,h?à ??1M,O]BM-=
??3??V2?[ 。?1???? 2,
??¨ e%h ?3 d。?ù?| ?''yü?¥?
?[ ?S¥119 èTS?8,?ù?`,i
s1í F?vF,sYóí V á?i?L4(?
?? ?0<μK 3)#l4 ?''J?í 。
1.2B?''
119 èTS?8?í F65 è,347 è,o18
è,ü (M -9.1 ?;vF54 è,339 è,o15
è,ü (M -7.8 ?。 F¥?hM -15.1~
17.1 ?,3o1 è12.6∶1。ü (h?1.9M。
F¥ü?M -、?hM -#h?μs (íA÷?
(P>0.05), μ V1?,nV1。
V1 FB?'' 1?(x±s)
FY è ?
?Y
3o
M -( ?)h?(M)?hM -( ?)
vF5439157.8±1.51.8±0.86.2±1.8
í F6547189.1±0.82.0±0.66.8±1.9
1.3 "5VC
?1 "5VC1D,? á, ê0, ?Z,(h,
E ,a8? &8e?,QˉbY?,??ê
??,μB???ê] H?9?,[D1
Kèn。
1.4ZE
í F ?μh è?8×vlóív、?、l4
¥ V á?i?L4,?8×??20~40kg, P¨
1.0mg/?,?8×??41~60kg, P¨1.5mg/?,
8×>60kg? P¨2.0mg/?。L4L??Z
~/????z), ??÷D1Q,4?;D?L
? H,9÷D?¥L¨?ê,Yè1§Z~/?。
vFóíl4 ?''J? ó??í , 04
(10.5~0.7mg/Q, ?°2Q,? g?。?
?3? üA?9F0.25mg,Kv4 11mg/Q。
F ( ?? ?`1Q, ?`5?。¨0-# ?Q
?` H (é?5 Zv8??×? V(Yale
GlobalTicSeverityScale,YGTSS)??# "5v8
?` V(CGI)??。] H_Eéé?TS? M?
a,á??8E ?é HW Aè j,?è73$,F<
???。Eé?1Vs?i?8¥??,E
??¨u ?8@¥5?Z T。í -aé?é /?
?è???èm?_°。
1.5 r??S
?¨YGTSS??[3],?? V?s¥M?#h
s q[V U?M?。 ?μ?8Qü? H (?
üV ê?T¥D 3?vYGTSS?????
? 2?、?? s ??,??-?1?9s。
í 12?aé?YGTSS?s,¤í as。
|s¥h ′"[$s,¤YGTSS9sh
s q,T1 ??·S。
hs q=(í -9s-í a9s)÷í
-9s×100%。hs q≥50%1μr,hs q
<50%1ír。
1.6d9DsZE
9 ?'' ?¨χ2_,9 '' ?¨? ?"''
t_,[SPSS13.0é?d9s。
22T
2.1 FYGTSShs q1?
í FYGTSShs qú?vF,μsμA÷
?(P<0.05),nV2。
V2 FYGTSShs q1?(x±s)
FY$sí 4?ashs q(%)
vF37.13±3.8222.05±2.7341.0±6.3
í F41.02±3.7216.15±3.8461.5±7.5a
a:DvF1?,P<0.05
2.2 F r1?
í F65 è,μr53 è,μr q81.5%;v
F54 è,μr36 è,μr q67.5%, F1?μs
íA÷?(χ2=3.46,P>0.05)。
2.3? Q?
í F65 è?1 èCóa/?、h,T0
a? Q?h >。vF54 è?6 èμ? Q?,
2 èC^¥àf ?9ú,4 èC^ _ ¤,
?C。?C?×¥8?"Q?。í -aé?
¥é /??è???èm?_°??C üAsè。
3) ?
8`TS? 3?5~15 ?¥D -8`, 9
v?μ15%¥8`BM - ?C??ù5。
?h q?ú,?1%~7%,[3Yn。VC?
Tò?M], ??¥?,? u? ?쥓?
??”,[#?ò? 2{¥ ?ì“? 2??”,
?1VC1?T¥Qˉ、 y ?¥B???ê
????? 2?8??,i V?μ?i ?
·538·
?11 ?7ù
2009M7
中国当代儿科杂志
ChinJContempPediatr
Vol.11No.7
Jul.2009
?"?,?,?T? ±?[# e?1?
[1]。"-μ?4 U,TS?8¥? ?2i?
R? ? ,?8¥B?? M、 ?3、 ? ±?、`à
Q、d2? j $ Ll、 j $??? ??D?è8
`iB?μ [4,5]。7ON ??8 V?μB??
¥:k ?],?|??Y e ì¥DV?;iO
??? 9 ^?1l¥? ?ù5, 3é
üA
???èF。 ?[#??|μù?4ú e ì¥ 3
é 。?h¥hy"- ?b#,?hDL.
y í、 üé >?、? ?y í?ìay í?íZ ?μ
1。íM ? ?" ü 3?、 ü?D# ü0 ?D
?D S¥?Z,£ UTS¥hy V? ^? ü?¥
? w ü?é???V?? s8? ù
?á。
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?,f?-#áU??,$?f ?p??8?
"Q?。 üA ?? Vá Jà Gé,g?,:k ?h
|, ¤ ?p??? Q?[6]。7Oy? Q?#
?°2Q g?0t^C P??ey,?áí ¥
¨V?/?,[à1???0,?Yí 。 V á?
^ê4?α2 / F s8?4,e¨?úóa¥
í ,?T¨? ?ê?,]??J / F í??。
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ü 3é í¥?[7,8]。 V á?¨?í TS¥
? ^:l4 ?¨ H μO]??l(α2- s
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¥ dbh ,V7]????1[9,10]。 V á??
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7d=[??¥ ?,YV??òaé?|8?ì
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0ZEKvK1E ? 0t¥í? Q?;N
?,0t?üVh??,E ? pH′、 Jt#h?
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?¥O。 6??μ[/a?:①?L0t^??
8¤ s, ??÷D1Q,ZL^?;② ? _ ¤,
Q?t,:k ?h|?? Q?,?8¥D?
3??? , ¨V?z;③í Jà Gé?,# a¨
?g?8;④é /??í? ?Y;⑤8?"¥
? Q? ,oμ?Yh èCóa/?, ?£
ê;⑥ ù V á?L4FDvF1?,?8 ríμ
s,? V á?L4FYGTSSs′DvF1?μ ü
A/?,O?T¨ 。# V á?i?L4í 8`
TSμ üA¥a?。?v |?#ùù r
μ?éB?43。
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