脑电生物反馈治疗不同亚型注意缺陷多动障碍儿童效果比较  

Effect of electroencephalogram biofeedback on children with different subtype of attention deficit hyperactivity disorder

作　　者：杜文冉[1] 崔立华[2] 庞淑兰[2] 王平[1] 张洁[1] 齐浩[1] 晏国娟[1] 

机构地区：[1]唐山市妇幼保健院儿童保健科,河北唐山063000 [2]河北联合大学公共卫生学院儿少卫生与妇幼保健教研室,河北唐山063000

出　　处：《中国儿童保健杂志》2014年第9期999-1001,共3页Chinese Journal of Child Health Care

基　　金：唐山市科技攻关计划项目(12140210A-10)

摘　　要：目的比较脑电生物反馈治疗不同亚型注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童的疗效。方法采用自身前后对照设计,收集临床确诊并经脑电生物反馈治疗的54例ADHD患儿,采用SNAP-Ⅳ量表分别于治疗前、治疗结束、治疗后3月和6个月进行评定。结果治疗结束、治疗后3个月和6个月三亚型患儿SNAP-Ⅳ评分显著低于治疗前(P均<0.01)。治疗结束时注意缺陷型和混合型患儿降低分值显著高于多动冲动型,三组有效率分别为84.21%、60.87%、41.67%,差别有统计学意义(χ2=6.111,P=0.047)。3个月时混合型患儿评分差值(与治疗前比较)显著高于多动冲动型患儿(P<0.01),各组有效率和缓解率差异无统计学意义(P>0.05)。6个月时三组患儿评分差值、有效率和缓解率均无统计学差异(P>0.05)。结论脑电生物反馈能有效治疗ADHD;对不同亚型ADHD的疗效不同,临床应根据分型选择最佳治疗方案。Objective To study the effect of electroencephalogram （EEG） biofeedback treatment on children with different subtype of attention deficit hyperactivity disorder（ADHD）. Methods A total of 54 children with different subtype of ADHD participated in a self-controlled clinical trial. Every group was followed up for 6 months after treatment. SNAP-IV Rating Scale was used to assess the efficacy. Results SNAP-1gscore of children with different subtype of ADHD had significantly reduced after treatment until 6 months（P〈0.01）. The score differences of DHD-IT and ADHD-CT were significantly higher than that of ADHD-HT, the effective rate of three groups respectively was 84.21 %, 60.87 %, 41.67 % at the end of the treatment. There were statistically significant difference in effective rate in the three groups （-1（2= 6. 111, P= 0. 047）. The score difference of ADHD-CT was significantly higher than that of ADHD-HT at the end of 3 months（P% 0.01）. But there were not statistically significant differences in effective rate and remission rate in the three groups at the end of 3 months and 6 months（P）0.05）. Conclusion EEG biofeedback training has different effects on different subtype of ADHD. The different treatment methods should be chosen hy different subtype of ADHD in clinical treatment.

关 键 词：注意缺陷多动障碍 脑电生物反馈 亚型 儿童 

分 类 号：R749.94[医药卫生—神经病学与精神病学]