兒童抽動障礙與A族溶血性鏈球菌感染關(guān)系的研究.pdf

1、山西醫(yī)科大學碩士學位論文兒童抽動障礙與A族溶血性鏈球菌感染關(guān)系的研究姓名：劉雅靜申請學位級別：碩士專業(yè)：兒科學指導教師：都萍20060516斷睦科大學碩：h學位嗆文ThestudyofrelationshipofGroupAhemolyticstreptococcal’、1infectionandticdisordersAbstractobjective：Ticdisordersisakindofneuropsychiatricdise

2、asewithevidenthereditarytendencyManypatientshavebeenfoundinpubertyTheetiologyandpathogenesisofthisdisordersisunknownAsoneofenvironmentalfactors，GroupAstreptococcalinfectionalwaysplayanimportantroleinseveralyearsBecausema

3、nyfactorscanleadtoticdisorders，thisstudyaimedatexploringitsanti—DNaseBantibodies，tumornecrosisfactor旺(TNFa)tpersonnality，infectionhistory，mother’Spregnancy，parentalteachingpatternsandfamilysurroundinginformations，approch

4、ingdeeplyitspathogenesisandprovidingreasonabletreatmentplanforclinicalinterventionMethod：Fortypatientswithticdisordersand32age—matchedcontrolsubjectsparticipatedinacasecontrolexperimentalstudyThesesubjectsaremeasuredlabo

5、ratoryindexincludinganti—DNaseBantibodies，tumornecrosisfactora(TNF—ct)inbloodandquestionnaireaboutticdiordersriskyfactorsThedataiscollectedandanalysedwithSPSS120statisticalsoftsystemResults：Incasegroup，antiDNaseBantibodi

6、estitreandabsorbencyofTNFⅡissignificantlyhigherthanincontrolgroupTicdisordersriskyfactorsquestionnaireindicatesthatthereare7factorswhichhassignificantdifferencebetweenthecasegroupandthecontrolgroupThe7factorsarephysicalp

7、unishment，malnutritionduringpregnancy，children’Smild，children’Sselfwilledandbadtemperchildren’SattentiondeficitwithhyperactivityfeelingserioustensionrecentlysymptomofgroupAstreptococcalinfectionOccursintwoweeksbeforedeve

8、lopingticdisordersSinglefactorlogisticregressionanalysisrevealedthatthefollowingfactorsph)rsicalpunishment，malnutritionduringpregnancy，children’Smild，children’Sselfwilledandbadtemperchildren’Sattentiondeficitwithhyperact

9、ivityfeelingserioustensionrecentlyhavesignificantdifferenceMultifactorlogisticregressionanalysisindicatedthatfeelingserioustensionrecentlyisthemostriskyfactorsPartialcorrelationsanalysisindicatedapositivecorrelationbetwe

10、enanti—DNaseBantibodies，TNFc【andthescoreofYGTSSConclusion：TicdisordersispossiblyconcemedwithstreptococcalinfectionPhysicalpunishment，malnutritionduringpregnancy，children’Sselfwilledandbadtemperchildren’Sattentiondeficitw

11、it1hyperactivityfeelingserioustensionrecentlywouldbetheriskyfactorswhichleadtoticdisordersAmongthesefactorsfeelingserioustensionrecentlyisthemostriskyfactorsAndmildpersonalityispossiblyprotectivefactorKeyWords：Ticdisorde