注意缺陷多动障碍与破坏性心境失调患者微小躯体异常比较  

Minor physical anomalies in aAttention-deficit hyperactivity disorder and disruptive mood dysregulation disorder

作　　者：马君 蔡越 林鄞 肖雅伦 寸铃莉 巫佩莹 吴安琪 MA Jun;CAI Yue;LIN Yin;XIAO Ya-lun;CUN Ling-li;WU Pei-ying;WU An-qi(Baoan Center Hospital of Shenzhen,Shenzhen 518102,China)

机构地区：[1]深圳市宝安区中心医院,518102 [2]深圳市儿童医院 [3]深圳市福田区慢性病防治院

出　　处：《临床精神医学杂志》2023年第3期229-231,共3页Journal of Clinical Psychiatry

摘　　要：目的:探索注意缺陷多动障碍(ADHD)和破坏性心境失调(DMDD)患者微小躯体异常(MPAs)及其差异。方法:采用爱丁堡利手量表、部分躯体异常量表及新增的条目对56例ADHD患者(ADHD组)、49例DMDD患者(DMDD组)及60名健康对照(NC组)进行评定。结果:3组间内眼距、外眼距和2D∶4D总体差异有统计学意义(F值分别4.09、22.02和5.79,P值分别为0.019、<0.0001和0.004)。Bonferroni多重校正后两两比较,内眼距AHDH和NC组间差异有统计学意义,ADHD比NC大;外眼距ADHD和DMDD、ADHD和NC组间差异有统计学意义,ADHD大于DMDD和NC;2D∶4D ADHD和DMDD、ADHD和NC组间差异有统计学意义,ADHD小于其他两组。3组间,内眦赘皮、耳末粘附总体差异有统计学意义,ADHD组内眦赘皮、耳末粘附多于NC组(P分别<0.05、<0.01)。结论:ADHD患者存在较多微小躯体异常,可能存在神经发育偏侧化异常。Objective:To explore the minor physical anomalies(MPAs)in attention-deficit hyperactivity disorder(ADHD)and disruptive mood dysregulation disorder(DMDD).Method:Edinburgh Handedness Inventory,items from Waldrop scale and other physical items were used in 56 patients with ADHD,49 patients with DMDD and 60 normal controls(NC).Results:There were significant differences in inner canthal distance,outer canthal distance and 2D∶4D among three groups.Patients with ADHD had greater inner canthal distance than NC.Outer canthal distance of patheits with ADHD were larger than DMDD and NC,respectively.2D∶4D of patients with ADHD were smaller than DMDD and NC,respectively.Compared with NC,epicanthus and adherent ear lobe were more positive in the patients with ADHD.Conclusion:There are minor physica anomalies and abnormal neurodevelopment in ADHD.

关 键 词：注意缺陷多动障碍 破坏性心境失调 微小躯体异常 神经发育 

分 类 号：R749[医药卫生—神经病学与精神病学]