CAJ | 학술논문

目的探讨脑电生物反馈对共患注意缺陷多动障碍(ADHD)和学习障碍(LD)患儿脑功能的改善作用.方法应用脑电生物反馈治疗仪对48例共患ADHD和LD患儿进行治疗.采用脑电反馈仪检测脑电波功率比值,采用持续注意测验检测注意力,采用瑞文推理测验评价智力,采用酶联夹心免疫吸附测定法检测血清浓度.结果治疗后患儿θ/β、θ/SMR值较前明显下降(P<0.01),漏报数、错误数、反应时间较前降低(P<0.01),智商较前改善(P<0.01),血清β-EP浓度[(180.29±32.38)pg/ml,(191.01±22.85)pg/ml]较前升高(P<0.01).结论脑电反馈治疗能够显著改善共患ADHD和LD患儿的脑电异常、智力、注意力,且对脑电异常改善作用无左右脑半球特异性.
목적 탐토뇌전생물반궤대공환주의결함다동장애(ADHD)화학습장애(LD)환인뇌공능적개선작용.방법 응용뇌전생물반궤치료의대48례공환ADHD화LD환인진행치료.채용뇌전반궤의검측뇌전파공솔비치,채용지속주의측험검측주의력,채용서문추리측험평개지력,채용매련협심면역흡부측정법검측혈청농도.결과 치료후환인θ/β、θ/SMR치교전명현하강(P<0.01),루보수、착오수、반응시간교전강저(P<0.01),지상교전개선(P<0.01),혈청β-EP농도[(180.29±32.38)pg/ml,(191.01±22.85)pg/ml]교전승고(P<0.01).결론 뇌전반궤치료능구현저개선공환ADHD화LD환인적뇌전이상、지력、주의력,차대뇌전이상개선작용무좌우뇌반구특이성.
Objective To investigate the effect of EEG biofeedback treatment on improving brain func-tion of children with Comorbidity of attention deficit hyperactivity disorder(ADHD) and Learning disorder(LD).Methods Forty-eight children with Comorbidity of ADHD and LD diagnosed according to ICD-10 received 40 sessions of EEG biofeedback treatment. Feedback was contingent on enhancing beta activity and suppressing the-ta activity. All subjects were measured at pretreatment and at posttreatment on EEG activity, Raven's Standard Progressive Matrices, Continuous Performance Task (CPT). Serum levels were measured by enzyme linked immu-nosorbent assay. Results After treatment significante decreases were observed in the EEG ratio of the theta/be-ta and theta/SMR (P<0.01), in the errors commission and errors of omiss and reaction time of CPT (P<0.01). The mean concentration of Serum β-EP[(180.29±32.38) pg/ml and (191.01±22.85) pg/ml] in-creased significantly(P<0.01). IQ improve after treatment (P<0.01). Conclusion EEG biofeedback is highly effective in improving EEG spectrum,intelligence, attention of children with Comorbidity of ADHD and LD. The effect of EEG biofeedback is not hemispheric specific.