视听整合持续操作测试商数对注意缺陷多动障碍儿童脑电生物反馈疗效评估研究

Therapeutic evaluation of biofeedback treatment on ADHD with IVA-CPT multi-quotients

目的 通过视听整合持续操作测试（IVA-CPT）探讨脑电生物反馈治疗注意缺陷多动障碍（ADHD）的短期疗效.方法 23例符合美国精神障碍诊断与统计手册第四版（DSM-IV）的ADHD,接受脑电生物反馈治疗20次,并通过治疗前后IVA-CPT测试对其疗效进行评定.结果 训练后ADHD患儿IVA-CPT16项的反应控制商数[治疗前（58.3±32.9）分,治疗后（99.3±12.6）分,P＜0.05]和注意力商数[（54.4±34.0）分,（84.1±15.9）分,P＜0.05]显著提高.结论 脑电生物反馈短期治疗对ADHD疗效肯定,尤其对多动-冲动症状改善明显.

Objective To investigate the curative effect of biofeedback treatment on attention-deficit/hyperactivity disorder （ADHD） patients using integrated visual and auditory continuous performance test （IVA- CPT）. Methods 23 ADHD patients undertaked 20 times of EEG biofeedback treatment using VBFB-3000A facility. Their executive and attention quotients were measured before and after treatment by IVA-CPT. Results The pre-therapy full scale of response control and attention quotients of ADHD were 58.26 ±32.9 and 54.43 ± 34.01 respectively. After the therapy, all the quotients got improved （response control 99.3 ±12.6, attention 84.1 ±15.9） except for stamina and speed quotients both in visual and in auditory. Conclusion Shortterm EEG biofeedback treatment is one of effective methods for ADHD patients, especially for hyperactive cases.