摘要
目的:了解注意缺陷多动障碍(ADHD)儿童持续性操作测试(CPT)临床特征。方法:采用持续性操作测试,对1 000例拟诊为ADHD的患儿进行视觉(VCPT)和听觉(ACPT)持续性操作测试,分析比较不同测试方法、不同性别和不同年龄患儿的测试结果。结果:ACPT总异常检出率(53.90%)显著高于VCPT(33.00%)(2χ=100.381,P<0.01);ACPT虚报错误、漏报错误及平均反应时间的T值和P值显著高于VCPT的T值和P值(P<0.01);女性ACPT异常检出率(56.32%)显著高于男性(53.39%)(2χ=55.542,P<0.01);VCPT男性患儿虚报错误的T值、P值显著高于女性,女性患儿的平均反应时间T值和P值显著高于男性;ACPT女性患儿的漏报错误和平均反应时间T值和P值显著高于男性患儿;不同年龄组异常检出率(VCPT/ACPT)由高到低为912岁组(37.48%/62.72%)、68岁组(29.21%/47.47%)和13岁以上组(25.58%/36.43%),差异有显著的统计学意义(2χ=10,P<0.01、2χ=38,P<0.01)。结论:ADHD患儿听觉注意障碍较视觉明显;男女患儿临床特征存在差别;912岁为ADHD患病高峰。根据ADHD患儿的个体特征进行针对性的干预可能更科学、更有效。
Objective： To study the clinical features of attention deficit hyperactivity disorder （ADHD） in children. Methods： 1 000 cases of suspected ADHD were checked with continuous performance task （CPT） . The results of visual vontinuous performance task （VCPT） and audio continuous performance task （ACPT） were analyzed. Results： The prevalent rate of abnormal ACPT was significantly higher than that of VCPT （53. 9%/33. 0% ; χ^2 = 100. 381, P 〈0. 01 ） ; The P and T values of omission errors （OE）, confusion errors （CE） and response time （RT） in ACPT were remarkably higher than those of VCPT （ P 〈 0. 01 ） ; The prevalent rate of female＇s abnormal ACPT was higher than that of male＇s （56. 33%/53. 38% ; χ^2 = 55. 542, P 〈 0. 01 ） ; The P and T values of male＇s CE were rernarhably higher than those of female＇s, while of RT was lower in VCPT. The P and T values of female＇s OE and RT were remarkably higher than those of males in ACPT. The rank of prevalent rate of abnormal ACPT （VCPT/ACPT） in different age groups was 9 - 12 years （37. 48%/62. 72%）, 6 -8 years （29. 21%/47. 47%） and more than 13years （25. 58%/36. 43%） There was a significantly difference among them （χ^2 = 10, P 〈 0. 01/χ^2 = 38, P 〈 0. 01 ）.. Conclusion： The audio attention damage of ADHD children is more severe than the visual attention. There are many different clinical features between male and female 9 - 12 years is the peak ages. Therefore, it is more effective to treat ADHD patients based on individual clinical features.
出处
《中国妇幼保健》
CAS
北大核心
2007年第2期183-185,共3页
Maternal and Child Health Care of China
