脑电生物反馈并红外偏振光穴位照射对注意缺陷多动障碍患儿脑功能的影响  

Effect of EEG Biofeedback with BPM Polarized Light Acupoint Irradiation on Brain Function in ADHD Children

作　　者：李荐中[1] 王凭[2] 伊桔林 何志磊[1] 孙正海[1] 王娜[1] 王杰龄[1] 李倩 

机构地区：[1]齐齐哈尔医学院精神卫生研究所,黑龙江省齐齐哈尔市161006 [2]齐齐哈尔医学院附属二院 [3]晋江市疗养院 [4]北京市朝阳区精神卫生中心

出　　处：《中国全科医学》2009年第24期2200-2203,共4页Chinese General Practice

基　　金：黑龙江省卫生厅;教育厅资助项目(11521322)

摘　　要：目的探讨脑电生物反馈并红外偏振光穴位照射治疗对注意缺陷多动障碍(ADHD)患儿脑功能的影响。方法将66例ADHD患儿随机分为A、B两组,各33例。A组患儿给予脑电生物反馈治疗;B组患儿给予脑电生物反馈并红外偏振光穴位照射治疗,每次取百会等6个主穴,另取配穴2个。两组均治疗20次为1个疗程,共治疗2个疗程。治疗前、后及治疗后3个月评定韦氏儿童智力量表(C-WISC)、数字划消、Stroop测验、Conners儿童行为量表。结果治疗后及治疗3个月后B组患儿韦氏C因子分分别为(109±14)分和(110±14)分,显著高于A组的(106±15)分和(103±12)分,差异有统计学意义(P<0.05);数字划消测评结果显示,治疗后两组患儿第一、二、三段净分较治疗前均显著提高,差异有统计学意义(P<0.05);Stroop测验结果显示,两组患儿治疗后词测验时间、色测验时间较治疗前均显著缩短,差异有统计学意义(P<0.05);Conner行为量表评分显示,治疗后及治疗后3个月B组患儿行为、学习、多动因子评分及多动指数较A组显著降低,治疗后B组患儿焦虑因子分也较A组显著降低,差异均有统计学意义(P<0.05)。结论单纯脑电生物反馈治疗及脑电生物反馈并红外偏振光穴位照射治疗均能改善ADHD患儿的脑功能,但后者效果更佳,在改善患儿注意缺陷、减少多动冲动、缓解焦虑和改善学习状态等方面更为显著。Objective To study the effect of EEG biofeedback with BPM polarized light aeupoint irradiation on brain function in children with attention deficit hyperactivity disorder （ADHD）. Methods Sixty - six ADHD children were divided randomly into groups A and B, 33 in each. Group A were treated with EEG biofeedback, and group B with additional BPM polarized light acupoint irradiation, with 6 main points such as Baihui and anther 2 coordination acupoints. Both groups were treated 20 times in a treatment course, altogether 2 courses. Wechsler intelligence scale for children （ C - WISC） , number cancellation test, Stroop test, Conners child behavior scale were evaluated before treatment or 3 months after. Results The C - WISC factor scores of group B after treatment or 3 months after were （ 109 ± 14） and （ 110 ± 14） respectively, significantly higher than group A （ 106 ± 15, 103 ± 12, respectively）, the difference was significant （P 〈0.05）. When compared with pre - treatment, the results of number cancellation test showed significantly higher net scores in stagesⅠ,Ⅱ,Ⅲ（ P 〈 0. 05 ） after treatment, Stroop test showed shorter time of word test, color test （P 〈 0. 05 ） ; Conner behavior scale showed that the scores of behavior, learning and hyperactivity factors and indexes were significantly lower in group B than in group A after treatment or 3 months after, and anxiety factors lower in group B than in group A, the difference was significant （P 〈0. 05）. Conelusion EEG biofeedback alone or combined with BPM polarized light aeupoint irradiation can improve brain function of ADHD children, but the latter effects better, especially in improvement of attention deficit, hyperactivity impulse, anxiety and learning state.

关 键 词：注意力缺陷障碍伴多动 脑电生物反馈 红外偏振光 脑功能 

分 类 号：R749.94[医药卫生—神经病学与精神病学]