CAJ | 학술논문

目的了解持续性操作试验(CPT)在注意缺陷多动障碍(ADHD)筛查中的应用效果.方法对35例ADHD患儿(ADHD组)及65例普通儿童(普通儿童组)进行CPT测试和Conner问卷调查,对结果进行秩和检验,建立受试者工作特征(ROC)曲线,分析多项数据中最有价值者,并制定异常临界值,对CPT筛查结果和临床诊断结果进行一致性检验.结果 ADHD组CPT各项指标均显著高于普通儿童组(P＜0.05).各项指标中多数的ROC曲线下面积超过了0.7,尤其以视觉连续目标持续性注意测验(VST)反应时间为最高,达到了0.915.CPT筛选结果与临床诊断一致性较高(Kappa值为0.935).结论 CPT可以应用于ADHD筛查.
목적 료해지속성조작시험(CPT)재주의결함다동장애(ADHD)사사중적응용효과.방법 대35례ADHD환인(ADHD조)급65례보통인동(보통인동조)진행CPT측시화Conner문권조사,대결과 진행질화검험,건립수시자공작특정(ROC)곡선,분석다항수거중최유개치자,병제정이상림계치,대CPT사사결과 화림상진단결과 진행일치성검험.결과 ADHD조CPT각항지표균현저고우보통인동조(P＜0.05).각항지표중다수적ROC곡선하면적초과료0.7,우기이시각련속목표지속성주의측험(VST)반응시간위최고,체도료0.915.CPT사선결과 여림상진단일치성교고(Kappa치위0.935).결론 CPT가이응용우ADHD사사.
Objective To explore the effect of application of continue performance test (CPT) in screening of attention deficit hyperactivity disorder( ADHD ). Methods Thirty-five children with ADHD and65 normal children had been applied with CPT and Conner questionnaire test. Used rank sum test to examine the outcome, established receiver operating characteristic (ROC) curve, analyzed the most valuable index among various data, formulated abnormal critical value, and carried on a consistency check between CPT screening outcome and clinical diagnosis outcome. Results Each CPT index of 35 children with ADHD was obviously higher than those of normal children(P＜ 0.05 ). Most indexes' area under the ROC curve exceeded 0.7, reactive time of VST was the highest among each index which achieved 0.915. It was high conformity between CPT screening outcome and clinical diagnosis outcome (Kappa = 0.935 ). Conclusion CPT can be applied in ADHD screening.