上海儿童医学中心2014—2015年初诊注意缺陷多动障碍患儿用药情况分析  

Analysis of medication treatment for children with newly diagnosed attention-deficit hyperactivity disorder in Shanghai Children's Medical Center from 2014 to 2015

作　　者：杨友[1] 钟向阳 张力[3] 罗晶[4] 鲍远军 孙璞 金星明[1] 

机构地区：[1]上海交通大学医学院附属上海儿童医学中心发育行为儿科,中国上海200127 [2]上海市闸北区教育学院,中国上海200070 [3]广西壮族自治区妇幼保健院儿童保健科,中国南宁530021 [4]四川省泸州市人民医院儿童保健科,中国泸州646000 [5]江西省九江市妇幼保健院儿童保健科,中国九江230032 [6]重庆市永川区妇幼保健院儿童保健科,中国重庆402160

出　　处：《教育生物学杂志》2016年第3期130-133,共4页Journal of Bio-education

摘　　要：目的 对比分析2014-2015年初诊注意缺陷多动障碍（ attention-deficit hyperactivity disorder, ADHD）患儿用药变化和特点.方法 通过对比初诊患儿的诊断记录和患儿在药房的开药记录,分析上海交通大学医学院附属上海儿童医学中心2014-2015年初诊ADHD患儿的用药情况.结果 2014年我院疑似ADHD就诊儿童2 069例,确诊1 292例,诊断率62. 45%.2015年疑似ADHD就诊儿童2 268例,确诊1 510例,诊断率 66.58%.2015年较2014年诊断率有显著增加（ P〈0. 05）.按性别和年龄分层,发现6-9岁组男孩2015年的用药 数比2014年明显增加（ P〈0.05）.与其他年龄组相比,以6-9岁组儿童用药比例最高（ P〈0. 01）.结论 2015年 疑似ADHD就诊率和诊断率较去年有明显增加,可能与医教结合的推进有关.以6-9岁组儿童用药比例最高.Objective To compare and analyze the changes and characteristics of medication treatment for children with newly diagnosed ADHD between 2014 and 2015. Methods By comparing the diagnostic records and the drug administration records in the pharmacy, medication treatments for children with ADHD in Shanghai Children＇ Medical Center of Shanghai Jiao Tong University School of Medicine between 2014 and 2015 were analyzed. Results In 2014, 2 069 cases of children with suspected ADHD were evaluated in our hospital and 1 292 cases were diagnosed as having ADHD. The diagnostic rate was 62. 45 %. In 2015, 2 268 cases of suspected ADHD were evaluated and 1 510 cases were diagnosed as having ADHD. The diagnostic rate was 66. 58%. The diagnostic rate was more significantly increased in 2015 than that in 2014 （P 〈0. 05） . Stratified by gender and age, we found that the number of medication treatment for boys aged 6- 9 years old in 2015 increased more significantly than that in 2014 （ P 〈 0. 05 ） . Compared with other age groups, the proportion of medicine treatment for children of 6-9 years old was the highest （ P 〈 0. 01） . Conclusion In 2015, the ADHD diagnosis rate increased significantly compared with 2014, which may be related to the promotion of partnership between medicine and education. Children of 6-9 years old with ADHD have the highest proportion of medication treatment.

关 键 词：注意缺陷多动障碍 用药分析 儿童 

分 类 号：R749.94[医药卫生—神经病学与精神病学]