脑电生物反馈对共患ADHD和LD患儿脑功能改善作用  

Effect of EEG biofeedback on improving brain function of children with comorbidity of ADHD and LD

作　　者：翟杰[1] 仇新华[2] 薛波[3] 徐淑祝[1] 刘晓军[1] 

机构地区：[1]胜利石油管理局胜利医院精神卫生康复中心,257055 [2]胜利石油管理局胜利医院精神妇产科,257055 [3]胜利石油管理局胜利医院儿科,257055

出　　处：《中国临床实用医学》2008年第4期30-31,共2页China Clinical Practical Medicine

摘　　要：目的探讨脑电生物反馈对共患注意缺陷多动障碍（ADHD）和学习障碍（LD）患儿脑功能的改善作用。方法应用脑电生物反馈治疗仪对48例共患ADHD和LD患儿进行治疗。采用脑电反馈仪检测脑电波功率比值，采用持续注意测验检测注意力，采用瑞文推理测验评价智力，采用酶联夹心免疫吸附测定法检测血清浓度。结果治疗后患儿θ／B、θ／SMR值较前明显下降（P〈0．01），漏报数、错误数、反应时间较前降低（P〈0．01），智商较前改善（P〈0．01），血清β—EP浓度[（180．29±32.38）pg／ml，（191．01±22．85）pg／ml]较前升高（P〈0．01）。结论脑电反馈治疗能够显著改善共患ADHD和LD患儿的脑电异常、智力、注意力，且对脑电异常改善作用无左右脑半球特异性。Objective To investigate the effect of EEG biofeedback treatment on improving brain function of children with Comorbidity of attention deficit hyperactivity disorder（ ADHD ） and Learning disorder（ LD ）. Methods Forty-eight children with Comorbidity of ADHD and LD diagnosed according to ICD-10 received 40 sessions of EEG biofeedback treatment. Feedback was contingent on enhancing beta activity and suppressing theta activity. All subjects were measured at pretreatment and at posttreatment on EEG activity, Raven＇ s Standard Progressive Matrices, Continuous Performance Task（ CPT）. Serum levels were measured by enzyme linked immunosorbent assay. Results After treatment significante decreases were observed in the EEG ratio of the theta/beta and theta/SMR （ P 〈 0.01 ） , in the errors commission and errors of omiss and reaction time of CPT （ P 〈 0.01 ）. The mean concentration of Serum β-EP [ （ 180.29 ±32.38 ） pg/ml and （ 191.01 ±22.85 ） pg/ml ] increased significantly（ P 〈 0. 01 ）. IQ improve after treatment （ P 〈 0. 01 ）. Conclusion EEG biofeedback is highly effective in improving EEG spectrum,intelligence, attention of children with Comorbidity of ADHD and LD. the effect of EEG biofeedback is not hemispheric specific.

关 键 词：注意缺陷多动障碍 学习障碍 脑电生物反馈 智力 注意力 

分 类 号：R74[医药卫生—神经病学与精神病学]