平衡功能与共患破坏性行为障碍的注意缺陷多动障碍的相关性研究  

Contribution of disruptive behavior disorder to balance function of children with attention deficit hyperactivity disorder

作　　者：丰雷[1] 王玉凤[1] 王娟[1] 

机构地区：[1]北京大学精神卫生研究所,北京100083

出　　处：《北京大学学报（医学版）》2007年第3期247-251,共5页Journal of Peking University:Health Sciences

基　　金：卫生部临床学科重点项目(2004-468);北京市科技计划项目(Y0204003040831);科技部攻关项目(2004BA720A20)基金资助~~

摘　　要：目的:探讨共患破坏性行为障碍(DBD)是否增加注意缺陷多动障碍(ADHD)儿童平衡功能损害的程度,平衡功能损害严重的患儿中共患DBD的比例是否增多。方法:使用平衡功能测试仪(Balance Master)对按照性别、年龄配对的单纯ADHD、ADHD+DBD和正常对照儿童各20例的平衡功能进行评价。同时以正常儿童各项指标晃动速率的第85位百分位数值作为临界值,比较各组儿童晃动速率高于该临界值者所占的比例。结果:单纯ADHD组在固定平面睁眼[(0.65±0.26)°/s]、固定平面闭眼[(0.65±0.30)°/s]、海绵垫平面睁眼[(0.95±0.29)°/s]、海绵垫平面闭眼[(1.70±0.49)°/s]状态下的晃动速率均明显高于正常对照组[分别为(0.47±0.18)°/s,(0.43±0.19)°/s,(0.76±0.21)°/s和(1.27±0.38)°/s],差异有统计学意义(P<0.05)。ADHD+DBD组在海绵垫平面睁眼[(1.00±0.33)°/s]和闭眼[(1.78±0.66)°/s]状态下的晃动速率也大于正常对照组,差异有统计学意义(P<0.05)。两组ADHD患儿在各种状态下的晃动速率的差异均无统计学意义。单纯ADHD组在固定平面睁眼(50%)、闭眼(50%)和海绵垫平面闭眼(50%)状态下的晃动速率高于临界值者所占的比例均显著高于正常儿童(分别为10%、5%和10%),差异有统计学意义(P<0.01);共患组和正常儿童之间差异没有统计学意义。两组患儿在固定平面闭眼状态下的差异有统计学意义(P<0.01),单纯ADHD组比例(50%)高于共患组(10%)。结论:单纯ADHD患儿本身就存在平衡功能异常,共患DBD并不加重ADHD患儿平衡功能受损的程度,平衡功能受损明显的患儿中共患DBD的比例也未增加。Objective： To investigate whether the likelihood of balance impairment in children with attention deficit hyperactivity disorder （ADHD） increases with the presence of disruptive behavior disorder （DBD）, and whether the likelihood of co-occurring diagnosis of DBD increases in ADHD children with severer balance deficit. Methods： Three groups of 20 children each, representing pure ADHD, ADHD ＋ DBD, and typically developing control children, were included and group matched by age and gender. Balance functions were assessed with the Balance Master in different conditions. We compared the percentages of children in each group who swayed faster than 85 % of the typical control children in all con- ditions. Results： In the conditions of firm surface with eyes open （FI/EO） and eyes closed （ FI/EC）, and foam surface with eyes open （FO/EO） and eyes closed （ FO/EC）, the sway velocities of ADHD on- ly group （0.65 ±0.26 °/s, 0.65 ±0.30 °/s, 0.95 ±0.29 °/s, and 1.70 ±0.49°/s, respectively） were significantly higher than those of the typical control group （0.47 ±0.18 °/s, 0.43 ±0.19 °/s, 0.76 ±0.21 °/s, and 1.27 ±0.38 °/s, respectively） （P 〈0.05）. The sway velocities of ADHD ＋ DBD group （ 1.00 ±0.33 °/s and 1.78 ±0.66 °/s） were significantly higher than those of the control group only in FO/EO and FO/EC conditions （ P 〈 0.05 ） o There was no difference between the two ease groups. The percentages of children who swayed faster than 85% of normal children in the ADHD only group （50%, 50% , and 50% , respectively） were significantly higher than those of typical control group （ 10 % , 5 % , and 10 % , respectively ） in the conditions of FI / EO, FI / EC, and FO / EC （ P〈 0.01 ） ;There was no difference between ADHD ＋ DBD group and control group; In FI/EC condition, the percentage of ADHD only group （50%） was significantly higher than that of ADHD ＋ DBD group （ P 〈 0.01 ）. Conclusion： Balance impairment in ADHD did not increas

关 键 词：注意力缺陷障碍伴多动 注意缺陷和破坏性行为障碍 肌肉骨骼平衡 

分 类 号：R742.89[医药卫生—神经病学与精神病学]