中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2010年
9期
801-803
,共3页
匡桂芳%冀水娟%吴爱勤%陈娟%周长虹
劻桂芳%冀水娟%吳愛勤%陳娟%週長虹
광계방%기수연%오애근%진연%주장홍
注意缺陷多动障碍%抽动障碍%共病%注意力%视听整合持续操作评估
註意缺陷多動障礙%抽動障礙%共病%註意力%視聽整閤持續操作評估
주의결함다동장애%추동장애%공병%주의력%시은정합지속조작평고
Attention deficit hyperactivity disorder%Tic disorder%Comorbid ADHD and TD%Attention%Integrated visual and auditory continuous performance test
目的 探讨注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)与抽动障碍(tic disorder,TD)共病(comorbid attention deficit hyperactivity disorder and tic disorder,CAT)患儿的注意特征.方法 采用视听整合持续操作评估系统(integrated visual and auditory continuous performance test,IVA-CPT)对CAT组60例,ADHD组79例,TD组60例,正常对照组71名儿童分别进行评估.结果 CAT组的视觉反应控制商数(VRCQ)得分[(85.15±21.10)分]略高于ADHD组[(78.52±21.85)分,(P＜0.05)],其他5项结果两组比较差异无统计学意义(P＞0.05).CAT组儿童综合控制商数(FRCQ)、听觉反应控制商数(ARCQ)、VRCQ、综合注意力商数(FAQ)、听觉注意力商数(AAQ)和视觉注意力商数(VAQ)所有6项得分[分别为(83.43±20.98)分,(86.12±19.88)分,(85.15±21.10)分,(64.88±16.88)分,(67.92±17.11)分,(67.97±20.04)分],均显著低于TD组[分别为(96.47±17.83)分,(97.50±17.62)分,(95.72±18.87)分,(85.37±18.54)分,(86.47±17.32)分,(87.43±19.89)分]及正常对照组[分别为(98.42±12.67)分,(101.50±15.39)分,(95.92±11.79)分,(99.33±12.98)分,(98.50±12.09)分,(100.00±16.12)分](P＜0.01).结论 CAT儿童存在严重的控制能力降低及注意缺陷,其注意损害主要缘于ADHD的存在.
目的 探討註意缺陷多動障礙(attention deficit hyperactivity disorder,ADHD)與抽動障礙(tic disorder,TD)共病(comorbid attention deficit hyperactivity disorder and tic disorder,CAT)患兒的註意特徵.方法 採用視聽整閤持續操作評估繫統(integrated visual and auditory continuous performance test,IVA-CPT)對CAT組60例,ADHD組79例,TD組60例,正常對照組71名兒童分彆進行評估.結果 CAT組的視覺反應控製商數(VRCQ)得分[(85.15±21.10)分]略高于ADHD組[(78.52±21.85)分,(P＜0.05)],其他5項結果兩組比較差異無統計學意義(P＞0.05).CAT組兒童綜閤控製商數(FRCQ)、聽覺反應控製商數(ARCQ)、VRCQ、綜閤註意力商數(FAQ)、聽覺註意力商數(AAQ)和視覺註意力商數(VAQ)所有6項得分[分彆為(83.43±20.98)分,(86.12±19.88)分,(85.15±21.10)分,(64.88±16.88)分,(67.92±17.11)分,(67.97±20.04)分],均顯著低于TD組[分彆為(96.47±17.83)分,(97.50±17.62)分,(95.72±18.87)分,(85.37±18.54)分,(86.47±17.32)分,(87.43±19.89)分]及正常對照組[分彆為(98.42±12.67)分,(101.50±15.39)分,(95.92±11.79)分,(99.33±12.98)分,(98.50±12.09)分,(100.00±16.12)分](P＜0.01).結論 CAT兒童存在嚴重的控製能力降低及註意缺陷,其註意損害主要緣于ADHD的存在.
목적 탐토주의결함다동장애(attention deficit hyperactivity disorder,ADHD)여추동장애(tic disorder,TD)공병(comorbid attention deficit hyperactivity disorder and tic disorder,CAT)환인적주의특정.방법 채용시은정합지속조작평고계통(integrated visual and auditory continuous performance test,IVA-CPT)대CAT조60례,ADHD조79례,TD조60례,정상대조조71명인동분별진행평고.결과 CAT조적시각반응공제상수(VRCQ)득분[(85.15±21.10)분]략고우ADHD조[(78.52±21.85)분,(P＜0.05)],기타5항결과량조비교차이무통계학의의(P＞0.05).CAT조인동종합공제상수(FRCQ)、은각반응공제상수(ARCQ)、VRCQ、종합주의력상수(FAQ)、은각주의력상수(AAQ)화시각주의력상수(VAQ)소유6항득분[분별위(83.43±20.98)분,(86.12±19.88)분,(85.15±21.10)분,(64.88±16.88)분,(67.92±17.11)분,(67.97±20.04)분],균현저저우TD조[분별위(96.47±17.83)분,(97.50±17.62)분,(95.72±18.87)분,(85.37±18.54)분,(86.47±17.32)분,(87.43±19.89)분]급정상대조조[분별위(98.42±12.67)분,(101.50±15.39)분,(95.92±11.79)분,(99.33±12.98)분,(98.50±12.09)분,(100.00±16.12)분](P＜0.01).결론 CAT인동존재엄중적공제능력강저급주의결함,기주의손해주요연우ADHD적존재.
Objective To investigate the characteristics of attention in children with comorbid attention deficit hyperactivity disorder (ADHD) and tic disorder (TD) (CAT). Methods 60 children with comorbid ADHD and TD (CAT), 79 children with ADHD, 60 children with TD and 71 normal control children (NG) were collected. All of those cases were evaluated with the integrated visual and auditory continuous performance test (IVA-CPT). Results It was slightly higher for visual response control quotient (VRCQ) in CAT group(85.15 ±21.10) than those in ADHD group(78.52 ± 21.85) (P ＜ 0.05), there was no significant different in the other five scores between CAT group and ADHD group (P＞0.05). It was significantly lower for the full response control quotient (FRCQ), auditory response control quotient (ARCQ) ,visual response control quotient (VRCQ), full attention quotient (FAQ), auditory attention quotient (AAQ) and visual attention Quotient (VAQ) in CAT group (83.43 ± 20.98,86.12 ± 19.88,85.15 ± 21. 10,64.88 ± 16.88,67.92 ± 17. 11 ,67.97 ± 20.04) than those in TD group(96.47 ± 17.83,97.50 ± 17.62,95.72 ± 18.87,85.37 ± 18.54,86.47 ± 17.32,87.43 ± 19.89) and those in normal control group(98.42 ± 12.67,101.50 ± 15.39,95.92 ± 11.79,99.33 ± 12.98,98.50 ± 12.09,100.00 ± 16.12) (P＜0.01). Conclusion There have serious reduced control ability and attention deficit in children with CAT. The attention deficit is attributed to the existence of ADHD.
