柳州市6-12岁儿童罹患注意力缺陷-多动障碍的情况调查

Analysis of Related Factors of Attention Deficit Hyperactivity Disorder among Children between 6 and 12 Years old in LiuZhou

目的:调查柳州市儿童注意力缺陷-多动障碍的发病情况。方法:采用SNAP-IV父母等级评定量表对柳州市6所公立小学和1所私立小学共计1021名6-12岁的小学生进行注意力缺陷-多动障碍的筛查,由儿童发育行为专科门诊对初步筛查结果呈阳性的儿童进行随访,按照美国精神病研究协会制定的精神障碍诊断标准以及第4版精神疾病的诊断和统计手册判断这些儿童是否患有注意力缺陷-多动障碍。结果:在本组儿童中,罹患ADHD的儿童占4.31%(44/1021)。男孩患此病的几率为5.63%(29/515),女孩患病的几率为2.96%(15/506),二者相比差异显著(X2=4.401,P=0.036<0.05),有统计学意义。城市儿童与农民工子弟儿童ADHD的患病率相比较差异不显著,无统计学意义(X2=0.007,P=0.931>0.05)。结论:柳州市儿童多动症的患病率与全国水平基本一致;城乡儿童ADHD的患病率相比较无显著差异。将SNAP-IV量表做为儿童ADHD的筛查量表进行ADHD发病率的调查简便易行,此法值得在基层医院推广使用。

object: to investigate Liuzhou children attention deficit hyperactivity disorder - the prevalence of Method: the parents the SNAP-IV rating scale Liuzhou 6 public elementary school and a private elementary school a total of 1021 pupils aged between 6 and 12 years. Preliminary screening positive for children by child development behavior specialist outpatient follow-up, eliminate body disease of the nervous system disease and other serious mental illness, according to the American psychiatric association’s diagnostic and statistical manual of mental disorders fourth edition to diagnose ADHD Result: the overall prevalence of 4.31%; Urban children prevalence rate 4.37%; Migrant children incidence of 4.26%, there was no statistically significant difference; Conclusion: the prevalence of ADHD Liuzhou children basic consistent with the national level; The prevalence of urban and rural children no difference.