“视、听、动”模式功能训练对儿童注意缺陷多动障碍的干预效果

Intervention effect of functional training of ＂vision, hearing, action＂ mode in children with attention deficit hyperactivity disorder

目的 研究＂视、听、动＂模式功能训练对儿童注意缺陷多动障碍的干预效果.方法 采用随机对照研究的方法,把100例儿童注意缺陷多动障碍（ADHD）患儿随机分为研究组和对照组,每组各50例.研究组在服用安慰剂的同时,采用＂视、听、动＂模式功能训练法,对照组给予哌甲酯口服,并定期安排工娱活动.两组均干预6个月,并于入组的0,6个月各进行1次Conners儿童行为量表和肝肾功能及心电图检查,对结果进行比较.结果 6个月时研究组Conners儿童行为量表评分率及平均成绩变化与对照组比较,差异无统计学意义（P＞0.05）;研究组实验室检查异常率明显低于对照组,差异有统计学意义（P＜0.05）.结论 ＂视、听、动＂模式功能训练对儿童注意缺陷多动障碍有与药物治疗相似的治疗效果,但避免了服药带来的毒副作用,切实可行,值得临床推广应用.

Objective To explore the intervention effect of functional training of ＂vision, hearing,action＂ mode in children with attention deficit hyperactivity disorder. Methods 100 children with attention deficit hyperactivity disorder （ADHD） were randomly divided into research group and control group in this randomized double-blind control study, 50 cases each group. Research group was given placebo and ＂vision,hearing, action＂ mode function training, the control group was given oral methylphenidate and regularly scheduled entertainment and work. The study lasted for six months, to compare results of Conners child behavior scale, liver and kidney function tests, electrocardiography before and after the intervention. Results The score rate and average score change of the Conners child behavior scale of research group had no significant differences compared with control group at six months（ P 〉0. 05 ）; the laboratory abnormalities was significantly lower than the control group（ P 〈 0. 05 ）. Conclusions ＂vision, hearing, action＂ mode functional training on children with attention deficit hyperactivity disorder not only has the same therapeutic efficacy as drug treatment, but also it avoid adverse reaction caused by drug and can be applied in clinical treatment.