注意力缺陷多动障碍患儿的骨龄发育水平和体质量的研究  

Research of age development level and BMI in Children with ADHD

作　　者：王贺茹[1] 张悦[1] 高海涛[1] 宋文红[1] 张丽丽[1] 金春华[1] 

机构地区：[1]首都儿科研究所附属儿童医院,北京100020

出　　处：《中国儿童保健杂志》2015年第5期454-456,共3页Chinese Journal of Child Health Care

摘　　要：目的探讨注意力缺陷多动障碍（attentiondeficithyperactivitydisorder，ADHD）儿童的骨龄发育水平与体质指数（bodymassindex，BMI），为ADHD开展有效的治疗与预防措施提供依据。方法采取自愿原则选自本院保健科心理门诊6～11岁的符合美国精神障碍诊断统计手册（DSM-Ⅳ）诊断标准的初诊ADHI）儿童53例为观察组。生长发育门诊中选取正常健康儿童53例为对照组，采用数字化摄影仪拍摄左手腕骨正位X线片,用统一标准测量身高、体重，按CHN法（中国人手腕部骨发育评价标准）骨龄标准评价手腕骨龄片。结果观察组身高年龄与实际年龄的差均值（0．8±1．1）与对照组（-0．1±0．6）的比较差异有统计学意义（P〈0．001），骨龄与实际年龄差均值与对照组比较差异有高度统计学意义（P〈0．001），遗传身高与预测终身高的差均值（1．1±1．0）与对照组（1．0±0．4）比较莘异元统计学意义（P〉0．05），BMI观察组（18．1±3．5）与对照组（16．24-2．3）两组均值比较差异有统计学意义（P（0．05）。结论ADHD儿童的骨龄发育水平较早．体质指数偏高，不影响成年身高。Objective To study attention deficit hyperactivity disorder （AI）HD） children＇s bone age developmental lev el and body mass index and provide the basis of effective AI）HD treatment and preventive measures. Methods From men tal health department,53 cases of 6～11 year old patient newly diagnosed ADHI） were selected as the observation group,in compliance with U. S. Diagnostic Statistical Manual of Mental Disorders （DSM-Ⅳ） diagnostic criteria..53 cases of heahhy children with same bone age and actual age were chosen as the control group. Digital photography meter was used to shoot wrist bone X-ray,with a unified standard height and weight measurements, bone age standard evaluation method by C H N was used to judge wrist bone age film. Results Mean of difference between height age and actual age was significantly dif- ferent （P〈0. 001） between observation group（0.84±1.1） and control group（-0.14±0.6）;Mean of difference between bone age and actual age was significantly different （P〈0. 001） between observation group（ 1.4±1.0） and control group（ 1.04± 0. 4）;Mean of difference between forecast lifetime height and genetic height was not different （P〉0.05） between observation group（1.54±5.8）and control group（-0.1±22. 1）. Mean of body mass index （BMI） in two groups（observatina group 18.1 4± 3.5 ,control group 16.2±2.3） had differences （P〈0.05）. Conclusion l：7or children with ADHD,bone age developmental level is earlier and BMI is higher than healthy children. Yet,it does not affect final height during aduhhood.

关 键 词：ADHD 骨龄发育水平 预测终身高 BMI 

分 类 号：R179[医药卫生—妇幼卫生保健]