CAJ | 학술논문

目的探讨脑电生物反馈并红外偏振光穴位照射治疗对注意缺陷多动障碍(ADHD)患儿脑功能的影响.方法将66例ADHD患儿随机分为A、B两组,各33例.A组患儿给予脑电生物反馈治疗;B组患儿给予脑电生物反馈并红外偏振光穴位照射治疗,每次取百会等6个主穴,另取配穴2个.两组均治疗20次为1个疗程,共治疗2个疗程.治疗前、后及治疗后3个月评定韦氏儿童智力量表(C-WISC)、数字划消、Stroop测验、corulers儿童行为量表.结果治疗后及治疗3个月后B组患儿韦氏c因子分分别为(109±14)分和(110±14)分,显著高于A组的(106±15)分和(103±12)分,差异有统计学意义(P<0.05);数字划消测评结果显示,治疗后两组惠儿第一、二、三段净分较治疗前均显著提高,差异有统计学意义(P<0.05);Stroop测验结果显示,两组患儿治疗后词测验时间、色测验时间较治疗前均显著缩短,差异有统计学意义(P<0.05);Conner行为量表评分显示,治疗后及治疗后3个月B组患儿行为、学习、多动因子评分及多动指数较A组显著降低,治疗后B组患儿焦虑因子分也较A组显著降低,差异均有统计学意义(P<0.05).结论单纯脑电生物反馈治疗及脑电生物反馈并红外偏振光穴位照射治疗均能改善ADHD患儿的脑功能,但后者效果更佳,在改善患儿注意缺陷、减少多动冲动、缓解焦虑和改善学习状态等方面更为显著.
목적 탐토뇌전생물반궤병홍외편진광혈위조사치료대주의결함다동장애(ADHD)환인뇌공능적영향.방법 장66례ADHD환인수궤분위A、B량조,각33례.A조환인급여뇌전생물반궤치료;B조환인급여뇌전생물반궤병홍외편진광혈위조사치료,매차취백회등6개주혈,령취배혈2개.량조균치료20차위1개료정,공치료2개료정.치료전、후급치료후3개월평정위씨인동지역량표(C-WISC)、수자화소、Stroop측험、corulers인동행위량표.결과 치료후급치료3개월후B조환인위씨c인자분분별위(109±14)분화(110±14)분,현저고우A조적(106±15)분화(103±12)분,차이유통계학의의(P<0.05);수자화소측평결과현시,치료후량조혜인제일、이、삼단정분교치료전균현저제고,차이유통계학의의(P<0.05);Stroop측험결과현시,량조환인치료후사측험시간、색측험시간교치료전균현저축단,차이유통계학의의(P<0.05);Conner행위량표평분현시,치료후급치료후3개월B조환인행위、학습、다동인자평분급다동지수교A조현저강저,치료후B조환인초필인자분야교A조현저강저,차이균유통계학의의(P<0.05).결론 단순뇌전생물반궤치료급뇌전생물반궤병홍외편진광혈위조사치료균능개선ADHD환인적뇌공능,단후자효과경가,재개선환인주의결함、감소다동충동、완해초필화개선학습상태등방면경위현저.
Objective To study the effect of EEG biofeedback with BPM polarized light acupoint irradiation on brain function in children with attention deficit hyperactivity disorder (ADHD). Methods Sixty - six ADHD children were divided randomly into groups A and B, 33 in each. Group A were treated with EEG biofeedback, and group B with additional BPM po-larized light acupoint irradiation, with 6 main points such as Baihui and anther 2 coordination acupoints. Both groups were trea-ted 20 times in a treatment course, altogether 2 courses. Wechsler intelligence scale for children (C - WISC) , number cancel-lation test, Stroop test, Conners child behavior scale were evaluated before treatment or 3 months after. Results The C -WISC factor scores of group B after treatment or 3 months after were (109 ±14) and (110±14) respectively, significantly high-er than group A(106±15, 103 ±12, respectively), the difference was significant ( P < 0. 05 ). When compared with pre -treatment, the results of number cancellation test showed significantly higher net scores in stages Ⅰ,Ⅱ,Ⅲ(P < 0. 05) after treatment, Stroop test showed shorter time of word test, color test (P <0. 05) ; Conner behavior scale showed that the scores of behavior, learning and hyperactivity factors and indexes were significantly lower in group B than in group A after treatment or 3 months after, and anxiety factors lower in group B than in group A, the difference was significant (P <0. 05). Conclusion EEG biofeedback alone or combined with BPM polarized light acupoint irradiation can improve brain function of ADHD children, but the latter effects better, especially in improvement of attention deficit, hyperactivity impulse, anxiety and learning state.