有无冲动行为注意缺陷多动障碍患儿认知功能的差异  

The study of partial cognitive function between attention deficit hyperactivity disorder children with and without impulsive behavior

作　　者：刘军云[1] 马洪霞[2] 黄鑫[1] 

机构地区：[1]杭州市第七人民医院,杭州310013 [2]济宁医学院

出　　处：《中国行为医学科学》2007年第7期617-619,共3页Chinese Journal of Behavioral Medical Science

摘　　要：目的比较有和无冲动行为的注意缺陷多动障碍（ADHD）患儿认知功能的差异。方法根据Barratt冲动性量表的评分将ADHD患儿分为ADHD有冲动组和无冲动组，用韦氏儿童智力量表、逻辑记忆测验、威斯康星卡片分类测验评估其认知功能。结果有冲动组在逻辑记忆[（10．28±3．79）分VS（13．36±4．69）分]、威斯康星卡片分类测验的总应答数[（125．79±10．78）分VS（103．51±8．87）分]、准确应答数、持续错误数[（41．76±16．35）分VS（23．62±13．17）分]、完成分类数等方面均差于无冲动组，差异有显著性，而2组在总智商[（93．56±13．42）分VS（95．12±14．15）]分方面无明显差异。结论有冲动行为的ADHD患儿较无冲动行为的患儿认知功能受损更严重。Objective To compare with the difference of cognitive function between attention deficit hyperactivity disorder （ADHD）children with and without impulsive behavior. Methods 40 impulsive children with ADHD, 32 non-impulsive children with ADHD were were divided into two groups by the scores of Barratt impulsiveness scale（BIS）, and the cognitive function were measured by WISC-R, logical memory and Wisconsin Card Sorting test（WCST）. Results There were significant differences in some neuropsychological test between two groups, such as logical memory（ 10.28 ±3.79 vs 13.36 ±4.69） ; total responders of WCST（ 125.79 ± 10.78 vs 103.51 ± 8.87 ） ; persistent errors of WCST（41.76 ± 16.35 vs 23.62 ± 13.17 ）, But there were no difference in FIQ of WISC-R （93.56 ± 13.42 vs 95.12 ± 14.15 ）. Conclusion The cognitive function of ADHD children with impulsive behavior was worse than that of children without impulsive behavior.

关 键 词：注意缺陷多动障碍 冲动行为 认知功能 

分 类 号：R686[医药卫生—骨科学]