摘要
目的:观察针刺疗法结合运动干预对注意缺陷多动障碍儿童执行功能及核心症状的临床疗效。方法:选符合纳入标准的注意缺陷多动障碍儿童46例,随机分为两组各23例。对照组予运动疗法干预治疗,治疗组予运动干预结合针刺治疗,共12周。比较两组患儿治疗前后Stroop色词测验、执行功能评定量表(BRIEF)、Conners父母症状问卷(PSQ)评分。结果:治疗组总有效率为91.30%,高于对照组的69.57%(P<0.01)。治疗后,两组患者Stroop色词测验、PSQ各因子评分显著降低(P<0.01),且治疗组均低于对照组(P<0.01);两组BRIEF评分行为管理指数中抑制、转换评分和元认知指数中情感控制、工作记忆、启动、组织、计划、监控评分均显著降低(P<0.01),且治疗组均低于对照组(P<0.01)。结论:针刺疗法结合运动干预可进一步改善ADHD患儿执行功能和核心症状,提升注意缺陷多动障碍儿童主动注意力水平。
Objective:To observe the clinical efficacy of needling and exercise intervention on executive function and core symptoms of children with attention deficit and hyperactive disorder(ADHD).Methods:46 cases of eligible children with ADHD were selected and randomly divided into two groups,23 cases in each group.The control group was treated with exercise intervention,while the treatment group was treated with exercise intervention and needling.Both groups were treated for 12 weeks.The scores of Stroop Word-color Test,Behavior Rating Inventory of Executive Function(BRIEF)and Conners Parent Symptom Questionnaire(PSQ)of children patients were compared between two groups before and after treatment.Results:The total effective rate of treatment group was 91.30%,which was significantly higher than 69.57%of control group(P﹤0.01).The score of each factor in Stroop Word-color Test and PSQ of patients was significantly decreased in two groups after treatment(P﹤0.01),and the score of treatment group was lower than that of control group(P﹤0.01).In the BRIEF scores:the inhibition score and the conversion score in the behavioral management indexes as well as the scores of emotional control,working memory,initiating,organizing,planni ng and monitoring in the metacognitive indexes were significantly decreased in both groups(P﹤0.01),and the scores of treatment group were lower than those of control group(P﹤0.01).Conclusion:Needling and exercise intervention can further improve the executive function and core symptoms of children with ADHD,and enhance the active attention level of children with ADHD.
作者
王琰
金龙涛
王静
WANG Yan;JIN Longtao;WANG Jing(The Fourth Peoples Hospital Affiliated to Jiangsu University,Zhenjiang 212000,China)
出处
《山西中医》
2026年第3期33-35,共3页
Shanxi Journal of Traditional Chinese Medicine
基金
江苏省镇江市社会发展指导性科技计划项目(编号:FZ2023072)
江苏省镇江市科技计划(社会发展)面上项目(编号:SH2024036)。
关键词
注意缺陷多动障碍
针灸疗法
运动干预
attention deficit and hyperactive disorder
therapy of needling
exercise intervention
