目的探究听力障碍合并注意力缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)患儿在背景噪音下接受听觉康复的可行性。方法选择2017年1月~2020年1月于我院接受治疗的80例听力障碍合并注意力缺陷多动障碍患儿,按治疗方式...目的探究听力障碍合并注意力缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)患儿在背景噪音下接受听觉康复的可行性。方法选择2017年1月~2020年1月于我院接受治疗的80例听力障碍合并注意力缺陷多动障碍患儿,按治疗方式分为实验组与对照组各40例,两组患儿均接受听力障碍合并注意力缺陷多动障碍干预,实验组在有背景噪音下,对照组在无背景噪音下分别进行听觉康复干预,干预6个月后对比两组患儿注意缺陷多动障碍评定量表(version IV of swanson nolan and pelham,SNAP-IV)、视听整合持续测试(integrated visual and auditory continuous performance test,IVA-CPT)、听觉行为分级(CAP)及言语可懂度分级(SIR)量表评分。结果干预前两组患儿的SNAP-IV、IVA-CPT、CAP、SIR量表得分无显著性差异(P>0.05),干预后实验组患儿的SNAP-IV、IVA-CPT量表得分显著低于对照组(P<0.05),CAP及SIR分级显著高于对照组(P<0.05)。结论听力障碍合并注意力缺陷多动障碍患儿在背景噪音下听觉言语理解能力得到较大改善。展开更多
Attention Deficit Hyperactivity Disorder (ADHD) is a childhood onset autoregulation disorder characterized by attention deficit, hyperactivity and/or impul- siveness, which results in social and academic functional im...Attention Deficit Hyperactivity Disorder (ADHD) is a childhood onset autoregulation disorder characterized by attention deficit, hyperactivity and/or impul- siveness, which results in social and academic functional impairment. ADHD has a complex aetiology: along with genetic factors, anomalies in several cere-bral districts have been reported. We describe the case of a 9 year old boy with glucose-6-phosphate dehydrogenase deficiency in association with memory, behavioural and attentive disabilities. The patient’s clinical history is characterized by cerebral stroke at 3 years of age during a febrile episode, resulted in slight hemiparesis. Neuroimaging revealed a cystic lesion in the anterior portion of the right lenticular nucleus. Neuropsychological and psychiatric assess- ment evidenced alterations of executive functions. Diagnosis of ADHD secondary to lesion of the basal ganglia was made. We report the patient’s clinical profile in the light of current evidence pointing towards dysfunction of the basal ganglia as a crucial aetiological factor in memory and executive function impairment.展开更多
文摘目的探究听力障碍合并注意力缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)患儿在背景噪音下接受听觉康复的可行性。方法选择2017年1月~2020年1月于我院接受治疗的80例听力障碍合并注意力缺陷多动障碍患儿,按治疗方式分为实验组与对照组各40例,两组患儿均接受听力障碍合并注意力缺陷多动障碍干预,实验组在有背景噪音下,对照组在无背景噪音下分别进行听觉康复干预,干预6个月后对比两组患儿注意缺陷多动障碍评定量表(version IV of swanson nolan and pelham,SNAP-IV)、视听整合持续测试(integrated visual and auditory continuous performance test,IVA-CPT)、听觉行为分级(CAP)及言语可懂度分级(SIR)量表评分。结果干预前两组患儿的SNAP-IV、IVA-CPT、CAP、SIR量表得分无显著性差异(P>0.05),干预后实验组患儿的SNAP-IV、IVA-CPT量表得分显著低于对照组(P<0.05),CAP及SIR分级显著高于对照组(P<0.05)。结论听力障碍合并注意力缺陷多动障碍患儿在背景噪音下听觉言语理解能力得到较大改善。
文摘Attention Deficit Hyperactivity Disorder (ADHD) is a childhood onset autoregulation disorder characterized by attention deficit, hyperactivity and/or impul- siveness, which results in social and academic functional impairment. ADHD has a complex aetiology: along with genetic factors, anomalies in several cere-bral districts have been reported. We describe the case of a 9 year old boy with glucose-6-phosphate dehydrogenase deficiency in association with memory, behavioural and attentive disabilities. The patient’s clinical history is characterized by cerebral stroke at 3 years of age during a febrile episode, resulted in slight hemiparesis. Neuroimaging revealed a cystic lesion in the anterior portion of the right lenticular nucleus. Neuropsychological and psychiatric assess- ment evidenced alterations of executive functions. Diagnosis of ADHD secondary to lesion of the basal ganglia was made. We report the patient’s clinical profile in the light of current evidence pointing towards dysfunction of the basal ganglia as a crucial aetiological factor in memory and executive function impairment.
