注意缺陷多动障碍儿童的前庭平衡功能与执行功能  

Relationship of vestibular balancing function to executive function in children with attention-deficit/hyperactivity disorder

作　　者：李静[1] 程嘉[1] 丰雷[1] 王玉凤[1] 

机构地区：[1]北京大学精神卫生研究所,卫生部精神卫生学重点实验室(北京大学),北京100191

出　　处：《中国心理卫生杂志》2012年第6期410-414,共5页Chinese Mental Health Journal

基　　金："十一五"国家科技支撑计划资助(2007BAI17B03);卫生行业科研专项经费资助(200802073)

摘　　要：目的:探讨不同前庭平衡功能状态的8～10岁注意缺陷多动障碍(ADHD)儿童的执行功能特点。方法:对符合美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)诊断标准的143名ADHD儿童,采用Stroop色字命名任务、Rey复杂图形记忆、连线测试、汉诺塔、言语流畅性任务、数字广度、心理推理能力任务测查执行功能。采用人体动静态姿势测试仪,选用感觉整合测试(SOT)评定平衡功能,以前庭感觉分的中位数为界,分为平衡功能好组(n=71)与平衡差组(n=72)。结果:平衡功能好组的Stroop字义命名完成时间[(19.3±5.2)s vs.(21.8±8.1)s]、色字命字完成时间[(24.8±8.0)s vs.(28.8±11.9)s]均少于平衡功能差组(均P<0.05);平衡功能好组汉诺塔任务完成率高于(78.9%vs.63.9%)平衡功能差组,汉诺塔任务犯规次数[1(0,2)vs.1(1,3)]少于平衡功能差组(均P<0.05)。在Rey复杂图形记忆、连线测试、数字广度、心理推理能力任务比较中,两组差异无统计学意义。结论:前庭平衡功能差的ADHD儿童,其执行功能的抑制、计划能力受损更明显。Objective： To explore the characteristics of executive function of attention deficit hyperactivity dis- order （ADHD） children in 8 to 10 years with varying vestibular balancing status. Methods： Totally 143 children who were diagnosed as ADHD according to the criteria of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition （DSM-IV） were selected. They were assessed with the executive function including Stroop color- word test, Rey-Osterrieth complex figure test, Trail Making Test, Tower of Hanoi task, verbal fluency test, Digital Span, theory of mind tests（ deceptive container task and false-belief task）, and balancing function using SMART EQUITEST Balance Master 8.0 with Sensory Organization Test （SOT）. The subjects were divided into two groups according to their vestibular perception scores. The subject whose score was above the median was included in the good balancing function group （n =71）, others was in the bad balancing function group （n =72）. Results： The good balancing function group spent less time in the Stroop color-word test than the poor balancing function group at the first [（19. 3 ±5.2） s vs. （21.8 ±8. 1） s] and the third trial [（24. 8 ±8.0） s vs. （28. 8 ± 11.9） s], and were better at the succeeded rate of Tower of Hanoi （78.9% vs. 63.9%, P 〈0. 05） ; and there were less violations in the good balancing group than the bad balancing group in Tower of Hanoi task [ 1 （0, 2） vs. 1 （1,3）, P 〈 0. 05]. No statisti- cal significance was found in Rey-Osterrieth complex figure test, Trail Making Test and Theory of mind. Conclusion： It suggests that ADHD children with bad balancing function might have more impaired inhibition and planning function of executive function.

关 键 词：注意缺陷多动障碍 执行功能 平衡功能 

分 类 号：R749.94[医药卫生—神经病学与精神病学]