【摘要】 目的 对氯硝西泮与丙咪嗪治疗儿童社交恐怖症的疗效及不良反应比较 。方法 儿童社交恐怖症36例(男15例，女21例，年龄12.23±2.30岁，病 程2.13±0.84年)，采用氯硝西泮1~4mg/d.po.治疗8周。另外，采用丙咪嗪治疗同类病人32 例(男性14例，女性18例，年龄12.56±2.53岁，病程2.29±0.91年)，用量25~75mg/d，p o.治疗8周。结果 氯硝西泮组显 效率为56%，总有效率为81%，丙咪嗪显效率为50%，总有效率75%，两组疗效差异无显著 意义(P>0.05),氯硝西泮组不良反应较丙咪嗪少。结论 氯硝西 泮对儿童社交恐怖症有肯定的治疗作用，近、远期疗效较好，且不良反应少。

    【关键词】 氯硝西泮；丙咪嗪；儿童社交恐怖症

    Clonazepam in Treating Childern Social Phobia. Li Yixin, Wang Yan, YangJingjuan. Department of Children, Luoyang Center Hospital, Luoyang 471000, P.R.C hina

    【Abstract】 Objective To compare the effect and side effect of clonazep am and imipramine in the treatment of children's social phobia. MethodsThirty-six pati ents with chirdren social phobia were given clonazepam for 8 weeks. Another thir ty-two same patients were given imipramine for 8 weeks. ResultsThe excellent repo nse rates of clonazepam group and imipramine group were 56% and 50%, the total r esponse rates of clonazepam group and imipramine group were 81% and 75%, respect ively (P>0.05). Adverse reactions of clonazepam group were less th an imipramine group. Condusion Clonazepam is really efficacious i n treating childern social phobia, adverse reactions of clonazepam is mild andrare. ......