注意缺陷多动障碍35例临床分析

Clinical Analysis of 35 cases of attention deficit hyperactivity disorder

目的：探讨哌甲酯治疗注意缺陷多动障碍（ADHD）的疗效及安全性。方法：对符合诊断标准的35例注意缺陷多动障碍的患儿采用哌甲酯口服,从每次5mg,每天2次开始,逐渐增加剂量,每天最大剂量不大于60mg,适宜量为0.3~0.7mg/kg.d。结果：治疗前ADHD症状量表（ADHD-RS-IV）总分为（39.11±7.38）分,治疗后为（19.78±7.81）分,治疗前后比较差异有统计学意义（P〈0.01）。结论：哌甲酯治疗儿童注意缺陷多动障碍疗效好、副作用少。

Objective： Discussion of methylphenidate treatment of attention deficit hyperactivity disorder efficacy and safety.Methods： 35 cases of attention deficit hyperactivity disorder meeting the diagnostic criteria were treated with oral methylphenidate,from each 5mg,2 times a day in the beginning,gradually increase the dose,the maximum daily dose of no more than 60mg,appropriate dose of 0.3mg ~ 0.7mg/kg.d.Results： ADHD Symptom Rating Scale before treatment（ADHA-RS-IV） total score（39.11±7.38） points.After treatment（19.78± 7.81） points.Before and after treatment was significantly（P0.01） different.Conclusion： Methylphenidate treatment of attention deficit hyperactivity disorder is effective and shows fewer side effects.