莆田县学龄儿童多动症的调查分析

The Investigation and Research for Hyperactivity of School Age Children in Putian County

目的了解本地区学龄儿童多动症的分布特点和影响因素。方法整群抽取莆田县城乡学龄儿童１２６３８名，先以Ｃａｎｎｅｒ氏（教师和家长用）多动症简化量表作一级筛查，对阳性者用ＣＣＭＤ－２－Ｒ诊断标准作二级诊断，同时进行相关因素调查分析。结果本病患病率为３．２１％，男女患儿之比为３．１６：１；男童患病率随年龄增加里下降趋势，而女童患病率变化不大；城乡条件和家长文化程度、职业、家教方式及遗传等因素不同，其患病率差异显著。结论本地区学龄儿童多动症患病率及男女童患病比例较国内外多数报道低；本病的发生与家庭、社会环境和遗传等因素有关；提示本病的矫治必须由家庭、学校、医院三方密切配合。

Objective: to know the speciality and affected sectors for hyperkinetic syndrome in school age children in this district. Methods:Pick out 12638 school age children by group in Putian. Fist,taking the most important picking in simplifying works of hyperactivity, taking the second-class diagnosis for the male by CCMD-2-R criterion, investigating and analysing the related factors at the same time. Results: The rate of suffering from such disease is 3. 21%, the male child is 3. 16% while the female is 1% The rate goes down by the age in male and the change is about the same in females. The rate is quite different according to the difference of condition between city and countryside, the culture degrees, the profession, the way of family teaching and the heredity and so on. Conclusion:The rate of hyperkinetic syndrome of school age children and of the all are lower than most reports inside and outside our country. Suffering from the disease is related to the family, the socialenviro nment and heredity factors. It is suggested that the disease must be cured by close cooperating among family, school and hospital.