脑电诊断及脑电生物反馈治疗对注意缺陷多动障碍患儿的作用(英文)  

Electroencephalogram diagnosis and biofeedback treatment for the child with attention deficit hyperactivity disorder

作　　者：李艳苓[1] 汤艳清[2] 刘冰[3] 隆晟祎[3] 孙刚[1] 沈丽红[1] 孙晶[1] 

机构地区：[1]鞍山市中心医院心理科,辽宁省鞍山市114001 [2]中国医科大学医学心理学教研室,辽宁省沈阳市110001 [3]中国医科大学临床医学系,辽宁省沈阳市110001

出　　处：《中国临床康复》2005年第8期236-237,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：背景:对注意缺陷多动障碍(attentiondeficithyperactivitydisorder,ADHD)儿童进行脑电诊断和脑电生物反馈治疗逐渐受到关注。目的:探讨脑功能诊断治疗仪对ADHD患儿诊断的精确性和治疗的疗效。设计:以ADHD患儿为研究对象的前瞻性观察对比研究。单位:一所市级医院的心理科。对象:选择2003-10/2004-5到鞍山市中心医院心理科多动症门诊就诊的儿童,共113例。纳入标准:年龄6～14岁到多动症门诊就诊的儿童。排除标准:患神经系统器质性疾病、广泛性发育障碍、精神发育迟滞、癫痫、精神病性障碍、听觉异常和视觉异常等疾病者。其中男88例,女25例,平均年龄为(10±3)岁。方法:应用A620全自动脑功能诊断治疗仪对113例儿童进行脑电检测,按照美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)中ADHD的诊断标准对前来就诊的儿童进行诊断,计算脑电诊断的灵敏度、特异度;应用该仪器对27例ADHD患儿进行脑电生物反馈治疗,治疗前后检测患儿脑电波θ/β比值的变化,采用Conners儿童行为问卷评价治疗前后多动指数的变化。主要观察指标:脑电波θ/β比值,Conners多动指数。结果:脑电诊断ADHD的灵敏度为83.58%,特异度为82.61%;脑电生物反馈治疗后患儿的θ/β值为(8.26±4.05),较治疗前(12.38±7.96)明显下降(t=2.39,P<0.05);Conners多动指?BACKGROUND:The concern over the use of electroencephalogram(EEG) diagnosis and biofeedback training as a viable option for children with attention deficit hyperactivity disorder(ADHD) has grown gradually. OBJECTIVE:To evaluate the diagnostic accuracy and therapeutic efficacy of A620 EEG system to ADHD children. DESIGN:Prospective observation and comparative study on ADHD children. SETTING:Psychological department of a municipal hospital. PARTICIPANTS:From October 2003 to May 2004,113 outpatient children in Psychology Hyperactivity Department of the Central Hospital of Anshan City were selected.Inclusion criteria:6 to 14-year-old outpatient children in Hyperactivity Department. Exclusion criteria:nervous system organic diseases,pervasive developmental disorder(PDD),mental retardation,epilepsy,psychotic disorder, acoustical and visual abnormalities,etc.Of all the ADHD children,88 were male and 25 were female,with the mean age of(10±3) years. METHODS:A620 EEG system was applied to examine the 113 participants. According to the Diagnostic Criteria for ADHD in Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition(DSM-IV),published by American Psychiatry Association,ADHD children were diagnosed and then the EEG diagnostic accuracy and specificity were calculated.The System was also used for biofeedback treatment on 27 ADHD children.Fluctuation of EEG θ/βvalue was measured both before and after treatment, and the change of hyperactivity index was investigated by Conners Parent Symptom Questionnaire as well. MAIN OUTCOME MEASURES:EEG θ/βvalue,Conners index of hyperactivity(CIH). RESULTS:The diagnostic sensitivity of EEG on ADHD was 83.58%, and the specificity of it was 82.61%;EEB θ/βvalue of post-treatment was 8.26±4.05,which decreased significantly compared with pre-treatment value(12.38±7.96)(t=2.39,P< 0.05);CIH was also dramatically declined from(24.73±10.96)(pre-treatment) to(12.05±8.63)(post-treatment)(t=4.72,P< 0.01). CONCLUSION:EEG can be used as an accessory method in ADHD diagno

关 键 词：轻微脑损伤综合征 脑电描记术 治疗 

分 类 号：R749.94[医药卫生—神经病学与精神病学]