中国儿童保健杂志 ›› 2014, Vol. 22 ›› Issue (9): 999-1001.DOI: 10.11852/zgetbjzz2014-22-09-33

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脑电生物反馈治疗不同亚型注意缺陷多动障碍儿童效果比较

杜文冉1, 崔立华2, 庞淑兰2, 王平1, 张洁1, 齐浩1, 晏国娟1   

  1. 1. 唐山市妇幼保健院儿童保健科, 河北 唐山 063000;
    2. 河北联合大学公共卫生学院儿少卫生与妇幼保健教研室, 河北 唐山 063000
  • 收稿日期:2013-10-09 发布日期:2014-09-10 出版日期:2014-09-10
  • 通讯作者: 崔立华,E-mail:lihua-cui0525@163.com
  • 作者简介:杜文冉(1980-), 男, 河北人, 主治医师, 在读硕士, 主要从事儿童保健工作。
  • 基金资助:
    唐山市科技攻关计划项目(12140210A-10)

Effect of electroencephalogram biofeedback on children with different subtype of attention deficit hyperactivity disorder

DU Wen-ran1, CUI Li-hua2, PANG Shu-lan2, WANG Ping1, ZHANG Jie1, QI Hao1, YAN Guo-juan1   

  1. 1. Departement of Child Health Care,the Hospital of Tangshan Maternal and Child Health,Tangshan,Hebei 063000,China;
    2. Department of Maternal and Child Health Care,Public Health College,Hebei Univerdity,Tangshan,Hebei 063000,China
  • Received:2013-10-09 Online:2014-09-10 Published:2014-09-10
  • Contact: CUI Li-hua,E-mail:lihua-cui0525@163.com

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被引次数

7

摘要： 目的 比较脑电生物反馈治疗不同亚型注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童的疗效。方法 采用自身前后对照设计,收集临床确诊并经脑电生物反馈治疗的54例ADHD患儿,采用SNAP-Ⅳ量表分别于治疗前、治疗结束、治疗后3月和6个月进行评定。结果 治疗结束、治疗后3个月和6个月三亚型患儿SNAP-Ⅳ评分显著低于治疗前(P均<0.01)。治疗结束时注意缺陷型和混合型患儿降低分值显著高于多动冲动型,三组有效率分别为84.21%、60.87%、41.67%,差别有统计学意义(χ2=6.111,P=0.047)。3个月时混合型患儿评分差值(与治疗前比较)显著高于多动冲动型患儿(P<0.01),各组有效率和缓解率差异无统计学意义(P>0.05)。6个月时三组患儿评分差值、有效率和缓解率均无统计学差异(P>0.05)。结论 脑电生物反馈能有效治疗ADHD;对不同亚型ADHD的疗效不同,临床应根据分型选择最佳治疗方案。

关键词: 注意缺陷多动障碍, 脑电生物反馈, 亚型, 儿童

Abstract: Objective To study the effect of electroencephalogram (EEG) biofeedback treatment on children with different subtype of attention deficit hyperactivity disorder(ADHD). Methods A total of 54 children with different subtype of ADHD participated in a self-controlled clinical trial.Every group was followed up for 6 months after treatment.SNAP-Ⅳ Rating Scale was used to assess the efficacy. Results SNAP-Ⅳscore of children with different subtype of ADHD had significantly reduced after treatment until 6 months(P<0.01).The score differences of DHD-IT and ADHD-CT were significantly higher than that of ADHD-HT,the effective rate of three groups respectively was 84.21%,60.87%,41.67% at the end of the treatment.There were statistically significant difference in effective rate in the three groups (χ2=6.111,P=0.047).The score difference of ADHD-CT was significantly higher than that of ADHD-HT at the end of 3 months(P<0.01).But there were not statistically significant differences in effective rate and remission rate in the three groups at the end of 3 months and 6 months(P>0.05). Conclusion EEG biofeedback training has different effects on different subtype of ADHD.The different treatment methods should be chosen by different subtype of ADHD in clinical treatment.

Key words: attention deficit hyperactivity disorder, EEG biofeedback training, subtype, child

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