精神运动康复联合行为矫治对4~6岁注意缺陷多动障碍儿童的疗效分析  

Analysis of the effect of psychomotor therapy combined with behavioral therapy on children with attention-deficit

作　　者：许西长 孙映红[1] 周凡 杨洁 金胜利[1] XU Xichang;SUN Yinghong;ZHOU Fan;YANG Jie;JIN Shengli(Affiliated Hospital of Jiangsu University,Zhenjiang 212001,China)

机构地区：[1]江苏大学附属医院儿科,江苏镇江212001

出　　处：《中国中西医结合儿科学》2021年第5期388-391,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：江苏省人口学会资助项目(BM2018033-1)。

摘　　要：目的探讨精神运动康复联合行为矫治对4~6岁注意缺陷多动障碍(ADHD)儿童的治疗效果。方法2019年1月至12月在江苏大学附属医院儿童早期发展中心确诊且接受治疗的ADHD患儿40例为研究对象,随机分为观察组和对照组各20例。观察组进行24周的精神运动康复联合行为矫治康复治疗,对照组仅进行24周的行为矫治康复治疗。分别在治疗前、治疗中(第12周)和治疗后采用Conners父母症状量表(PSQ)进行评估。结果与治疗前相比,观察组在治疗中和治疗后PSQ各项因子分均显著降低(P均<0.01);对照组在治疗中的品行问题和心身障碍与治疗前相比差异有统计学意义(P<0.05),其余因子不存在显著差异;对照组在治疗后PSQ各项因子分均显著低于治疗前,差异有统计学意义(P均<0.01)。观察组治疗中和治疗后PSQ各项因子评分均低于对照组,差异均有统计学意义(P<0.01)。结论精神运动康复联合行为矫治可以有效改善ADHD患儿的部分问题,在治疗12周时即显效,长期治疗后效果显著。Objective To explore the therapeutic effect of psychomotor therapy combined with behavioral therapy on children with attention-deficit hyperactivity disorder(ADHD)aged 4 to 6.Methods Forty children aged 4 to 6 with ADHD were divided into an observation group(20 cases)and a control group(20 cases)according to a random number table.They were diagnosed and received therapy in Affiliated Hospital of Jiangsu University from January to December 2019.The observation group received 24 weeks of psychomotor therapy combined with behavioral therapy and the control group only received 24 weeks of behavioral therapy.The Conners Parent Symptom Questionnaire(PSQ)was used to evaluate the observation group and the control group before treatment,during treatment(12th week)and after treatment.Results Compared with before treatment,the observation group has different PSQ during and after treatment.The scores of each factor were significantly reduced,with statistical differences(P<0.01).There were statistical differences in the behavior problems(P<0.01)and psychosomatic disorders(P<0.05)of the control group during the treatment,but there were no differences in other factors.The PSQ factor scores of the control group were significantly reduced after treatment,with statistical differences(P<0.01).During and aftertreatment,the scores of PSQ factors of the observation group were all lower than those of the control group,the differences being statistically significant(P<0.01).Conclusion Psychomotor therapy combined with behavioral therapy can effectively solve some problems in children with ADHD.It is effective at 12 weeks of treatment,and the effect is significant after long-term treatment.

关 键 词：注意缺陷多动障碍 精神运动康复 行为矫治 

分 类 号：R246.6[医药卫生—针灸推拿学]