注意缺陷多动障碍儿童视反馈平衡功能训练前后认知功能比较  

Effect of biofeedback balance training on cognitive function of children with attention deficit hyperactivity disorder

作　　者：程嘉[1] 王玉凤[1] 丰雷[1] 

机构地区：[1]北京大学精神卫生研究所,北京100083

出　　处：《中国实用儿科杂志》2006年第3期174-177,共4页Chinese Journal of Practical Pediatrics

基　　金：科技部资助项目(2004BA720A20);211工程资助项目(95000-242156012);临床学科重点项目[2004]468

摘　　要：目的探讨视反馈平衡功能训练对注意缺陷多动障碍（ADHD）患儿认知功能的影响。方法北京大学精神卫生研究所于2001年9月至2004年9月，采用Neurocom公司出产的Balance Master机型对36例符合《美国精神障碍诊断与统计手册》第4版（DSM-IV）诊断标准，年龄10—16岁的ADHD患儿进行每周2—6次共20次治疗，治疗前后评价韦氏记忆、韦氏智力、斯特鲁普（STROOP）等几项测试。并与36名正常对照进行比较。结果ADHD患儿长时记忆、记忆商和C因子分明显低于正常对照（P〈0．01）。STROOP测试中，患儿各部分完成时间、颜色干扰时和字义干扰时较正常对照明显长，C、D部分的错误数明显多（P〈0．05）。治疗后患儿韦氏记忆量表的长时记忆、短时记忆和记忆商分值均有明显提高，差异具有显著性（P〈0．05）；韦氏智力中C因子分明显改善（P〈0．001）；D部分完成时间有下降趋势（P=0．074）。结论视反馈平衡功能训练对改善儿童认知功能有一定疗效，特别是在提高注意力、记忆力及反应抑制等方面的疗效较好。Objective To study the effect of biofeedback balance training on cognitive function of children with attention deficit hyperactivity disorder. Methods From Sep. 2001 to Sep. 2004,36 cases were diagnosed according to the diagnostic criteria of DSM-IV,ranging from 10 to 16 years old. Pre- and post-Balance Master treatment （20 times） ,C-WISC-R, WIMS and STROOP Test were administered. And they were also compared to the normal control. Results Long term memory, memory quotient and the free-from-distractibility factor of C-WISC-R were lower than normal control. In Stroop test, the finishing time and time for eliminating the interference of word and color was longer than normal control;false number in C and D part was more than normal control. After therapy long-term memory, short-term memory and memory quotient in WMS were improved （ P 〈 0. 05 ）. The free-from-distractibility factor of C-WISC-R were increased significantly （ P 〈 0. 001 ）. Finishing time of D part has a decreased tendency （ P = 0. 074）. Condusion Balance master therapy can improve cognitive function of ADHD child to a certain degree, especially in improving concentration, memory and impulsive control ability.

关 键 词：注意缺陷 多动障碍 平衡 认知 儿童 

分 类 号：R72[医药卫生—儿科]