正念疗法联合Omega-3治疗儿童ADHD疗效观察  

Treatment effect of mindfulness training and Omega-3 supplementation on children with attention deficit hyperactivity disorder

作　　者：方乐[1] 蒋雪明[1] 黄彦科[1] 孙彦香[1] 谢雨芳[1] 王鹭[1] 陈妤煌 FANG Le;JIANG Xue-ming;HUANG Yan-ke;SUN Yan-xiang;XIE Yu-fang;WANG Lu;CHEN Yu-huang(Children Rehabilitation Department,Nanshan Maternal and Child Care Hospital of Shenzhe)

机构地区：[1]深圳市南山区妇幼保健院儿童康复科,广东深圳518000

出　　处：《中国妇幼健康研究》2018年第10期1230-1233,共4页Chinese Journal of Woman and Child Health Research

基　　金：深圳市南山区科技局科研课题计划资助项目(2017051)

摘　　要：目的评估正念疗法及服用Omega-3作为辅助措施治疗儿童注意力缺陷多动障碍(ADHD)的疗效。方法本研究为随机双盲临床试验,研究对象为2010年7月至2016年7月在深圳市南山区妇幼保健院就诊的60名ADHD患儿,年龄在5~12岁。所有研究对象均被评估8周,均服用利他林,分为对照组、Omega-3组、正念疗法组及联合治疗组,每组15例患儿。使用Conners父母和教师评定量表评价治疗0周、2周、4周、8周时临床症状改善情况。结果治疗开始时(0周)及治疗2周四组Conners评分比较均无明显差异(均P>0.05),治疗4周时联合治疗组较对照组及Omega-3组Conners评分明显降低(t值分别为3.00、2.85,均P<0.01),治疗8周时正念疗法组较对照组及Omega-3组Conners评分明显降低(t值分别为2.76、2.94,均P<0.01),联合治疗组较对照组及服用Omega-3组Conners评分明显降低(t值分别为2.91、2.89,均P<0.01)。结论在服用利他林的基础上,正念疗法联合服用Omega-3可有效改善ADHD患儿的症状。正念疗法联合服用Omega-3较对照组及服用Omega-3有更好的治疗效果。Objective To evaluate the effect of mindfulness training and Omega-3 supplementation as adjunctive therapies on the treatment of children with attention deficit hyperactivity disorder（ADHD）.Methods This study was a double blind,randomized clinical trial conducted on 60 children aged 5-12 years old that diagnosed with ADHD during July 2010 to July 2016 in Nanshan Maternal and Child Care Hospital of Shenzhen.All study subjects were evaluated for 8 weeks and ritalin was given.They were divided into control group,Omega-3 group,mindfulness training group,and mindfulness training combined with Omega-3 treatment group with 15 cases in each group.Clinical improvement was checked by Conners＇ Parent and Teacher Rating Scales in0,2 nd,4 th and 8 th week of treatment.Results In this study,mean score of Conners＇ scale showed no significant difference at the very beginning and after 2-week treatment（both P 〉0.05）,while that of the mindfulness training combined with Omega-3 treatment group were significantly lower than the control group and Omega-3 group at 4-week treatment（t value was 3.00 and 2.85,respectively,both P〈0.01）.Score of Conners＇ scale was lower in mindfulness training group than in the control group and Omega-3 group at the time of 8-week treatment（t value was 2.76 and 2.94,respectively,both P〈0.01）,and that was lower in the mindfulness training combined with Omega-3 treatment group than in the control group and Omega-3 group（t value was 2.91 and 2.89,respectively,both P〈0.01）.Conclusion Based on administration of ritalin,mindfulness training combined with Omega-3 supplementation can effectively improve symptom of ADHD.Furthermore,combination mindfulness training with Omega-3 supplementation is superior to the control group and Omega-3 group in clinical improvement of ADHD.

关 键 词：正念疗法 Omega-3 注意力缺陷多动障碍 Conners评分 利他林 

分 类 号：R748[医药卫生—神经病学与精神病学]