整合视听持续性操作测试对注意缺陷多动障碍的诊断效力  

Diagnostic validity of the integrated audio-visual continuous operation test for attention deficit hyperactivity disorder

作　　者：梁艳[1] 杜松妹[1] 陈宏[1] 董斐蓉[1] 王维千[1] 林海西[1] 杨闯[1] LIANG Yan ,DU Song-mei ,CHEN Hong ,DONG Fei-rong ,WANG Wei-qian ,LIN Hai-xi ,YANG Chuang(Department of Mental Health ,the First Affiliated Hospital of Wenzhou Medical University ,Wenzhou ,Zhejiang 325015 ,Chin)

机构地区：[1]温州医科大学附属第一医院精神卫生科,浙江温州325015

出　　处：《中国儿童保健杂志》2018年第4期411-414,共4页Chinese Journal of Child Health Care

基　　金：浙江省自然科学基金资助项目(4H090012)

摘　　要：目的初步探讨整合视听持续性操作测试(IVA-CPT)对注意缺陷多动障碍(ADHD)的辅助诊断效力,为临床更好地诊断ADHD提供途径。方法应用IVA-CPT系统、Conners父母用简明症状问卷、中国韦氏儿童智力测验以及美国精神障碍诊断和统计手册第4版(DSM-Ⅳ)中诊断ADHD的标准,对73例病例组患儿以及41名对照组健康儿童评估,比较两组IVA-CPT的差异,以及IVA-CPT与DSM-IV对病例组分型的差异。结果病例组和对照组在IVA-CPT测试结果上差异有统计学意义(P<0.05);病例组中IVA-CPT评估分型与DSM-IV诊断标准分型,差异无统计学意义(P>0.05)。结论 IVA-CPT可以做为辅助诊断ADHD的有效工具。Objective To preliminarily test the diagnostic efficacy of integrated visual and auditory continuous per- formance test （IVA-CPT） in attention deficit hyperactivity disorder （ADHD） ,in order to provide a pathway for better clini- cal diagnosis of ADHD. Methods The diagnostic and statistical manual of mental disorders fourth edition （DSM-IV） was used as diagnosis standard, 73 cases with clinical diagnosis of ADHD by Conners Parent Symptom Questionnaire（PSQ） ,Chinese Wechsler intelligence scale for children and IVA-CPT and 41 healthy children were tested;Then the result of IVA-CPT between the two groups and the differences between IVA-CPT type and DSM-IV type in the case group were compared. Results The difference on IVA-CPT result between the case group and the control group was statistically significant （P〈0.05）. The differences of IVA-CPT type and DSM-IV type in the case group were not statistically significant （P〉0.05）. Conclusion IVA-CPT may be an affective tool to help clinical doctor to auxiliarily diagnose ADHD.

关 键 词：注意缺陷多动障碍 整合视听持续性操作测试 诊断效力 

分 类 号：R179[医药卫生—妇幼卫生保健]