儿童注意缺陷多动障碍脑电生物反馈训练疗效的对照研究

The Controlled Study of Effectiveness of EEG Biofeedback Training on Children with Attention Deficit Hyperactivity Disorder

目的:研究脑电生物反馈训练治疗儿童注意缺陷多动障碍(ADHD)的效果。方法:利用美国ProComp+/Bio-Graph脑电生物反馈系统治疗儿童ADHD,每次30分钟,每周2次,共计40次,并采用视听整合连续性行为测试(I-VA-CPT)作为脑电生物反馈训练疗效的评定方法。结果:在60例ADHD儿童中,以注意缺陷为主型综合注意力商数为70.10±11.79,以多动冲动为主型综合反应控制商数为75.10±10.98,混合型综合注意力商数和综合反应控制商数分别为58.05±16.53和68.90±11.47。经脑电生物反馈训练治疗后,儿童ADHD以注意缺陷为主型、以多动冲动为主型和混合型IVA-CPT指标均显著提高(P<0.001)。结论:脑电生物反馈训练是一种治疗儿童ADHD的有效措施。

Objective： To study the effectiveness of EEG biofeedback training on children with attention deficit hyperactivity disorder （ADHD）. Methods： ProComp^±/BioGraph EEG biofeedback training was applied to treat children with ADHD, 30 minutes each time, 2 times per week, amounting to 40 times. Integrated Visual and Auditory Continuous Performance Tcst （IVA-CPT）was clinically adopted to evaluate the effectiveness of EEG biofeedback training. Results： Of all 60 chihlren with ADHD, the combined attention quotient of predominated inattentive subtype was 70.10±11.79; the combined control quotient of predominated hyperactive subtype was 75.10±10.98; and the combined attention quotient and combined control quotient of combined subtype were 58.05±16.53 and 68.90±11.47. After 40 times of EEG biofeedback training, the overall indexes of IVA-CPT were significantly improved among predominately inattentive, hyperactive, and combined subtype of children with ADHD （P〈0.001）. Conclusions： EEG biofeedback training is an effective anti vital treatment on children with ADHD.