摘要
目的:比较脑电生物反馈治疗对注意缺陷多动障碍(ADHD)不同亚型的疗效。方法:选择ADHD患儿103例,其中注意缺陷组34例、多动-冲动组32例及混合组37例,采用Conners量表、韦氏儿童智力测试和TOVA量表分别于治疗前、治疗后(治疗3个疗程后)、治疗后6个月及12个月进行评定。结果:3组Conners量表各因子评分治疗后较治疗前均降低(P<0.05或<0.01),12个月注意缺陷组和混合组仍有下降趋势(P<0.05或0.01),而多动-冲动组较治疗前下降不明显(P>0.05);除注意缺陷组错认评分外(P<0.05),3组TOVA 4项操作评分治疗后与治疗前比较,差异均无统计学意义(P均>0.05),12个月注意缺陷组4项评分、多动-冲动组遗漏项评分、混合组除遗漏项外其他3项评分较治疗前降低(P<0.05或0.01);3组韦氏儿童智力测验c因子评分治疗后较治疗前均升高(P均<0.01),12个月注意缺陷组和混合组与治疗前相比差异有统计学意义(P<0.01),而多动-冲动组与治疗前比较差异无统计学意义(P>0.05)。结论:脑电生物反馈对ADHD不同亚型的疗效是不同的;治疗前首先应进行分类诊断以确定不同的亚型。
Aim： To study the effects of EEG biofeedback treatment on children with different subtype of attention deficit hyperactivity disorder（ADHD）.Methods：A total of 103 children with ADHD were divided into three groups by different ADHD subtype in the DSM-Ⅳ.Every group was followed up for 1 year after treatment.Conners,C-WISC,and TOVA were used to assess the efficacy.Results： Significant difference in each variable of Conners and factor c of C-WISC were found among three groups after the treatment（P〈0.05 or 0.01）,but the ADHD-HI group had no significant difference at the end of 1 year（P〉0.05）.Most of TOVA scores significantly decreased at the end of 1 year in ADHD-I group and ADHD-C group（P〈0.05 or 0.01）,but only one score significanly decreased in control ADHD-HI group（P〈0.05）.Conclusion： EEG biofeedback therapy has different effective on different subtype of ADHD.The subtype should be definited before EEG biofeedback therapy.
出处
《郑州大学学报（医学版）》
CAS
北大核心
2008年第6期1161-1164,共4页
Journal of Zhengzhou University(Medical Sciences)
基金
郑州市科技攻关基金资助项目04BA35AEYD17
关键词
脑电生物反馈治疗
注意缺陷多动障碍亚型
儿童
EEG biofeedback therapy
attention deficit hyperactivity disorder subtype
child
