CAJ | 학술논문

目的:探讨中枢兴奋荆哌甲酯与行为治疗相结合对儿童注意缺陷多动障碍(attention deficit hyperactivity disorder A DHD)的临床疗效.方法:将符合ADHD诊断标准的100例患儿随机分为两组:哌甲酯加行为治疗55例为治疗组,单纯行为治疗45例为对照组.治疗4周后观察临床三大核心症状消退情况及半年后脑电图的变化.结果:治疗组临床显效率(63.6%)及总有效率(90.9%)均高于对照组,(33.3%,60.0%),两组差异显著(P<0.01),半年后治疗组脑电图异常率(21.8%)低于对照组(73.3%),两组差异显著(P<0.01).结论:哌甲酯与行为治疗相结合对注意缺陷多动障碍的疗效优于单纯行为治疗.
목적:탐토중추흥강형고갑지여행위치료상결합대인동주의결함다동장애(attention deficit hyperactivity disorder A DHD)적림상료효.방법:장부합ADHD진단표준적100례환인수궤분위량조:고갑지가행위치료55례위치료조,단순행위치료45례위대조조.치료4주후관찰림상삼대핵심증상소퇴정황급반년후뇌전도적변화.결과:치료조림상현효솔(63.6%)급총유효솔(90.9%)균고우대조조,(33.3%,60.0%),량조차이현저(P<0.01),반년후치료조뇌전도이상솔(21.8%)저우대조조(73.3%),량조차이현저(P<0.01).결론:고갑지여행위치료상결합대주의결함다동장애적료효우우단순행위치료.
Objective: To explore the effectiveness of Methylphenidate and behavior treatment on attention deficit hyperactivity disorder(ADHD) in children. Method: 100 ADHD in children were divided randomly into two groups: treatment group with methylpbenidate combined with behavior treatment ( n = 55 ) ;control group without methylphenidate treatment (n=45 ). The changes of three central symptoms operation 4 weeks after and electroencephalogram (EEG) half year later in two groups were recorded. Result: In treatment group , the clinical markedly effective rate(63.6% )and effective rate (90.9%)were higher than those in control group(33.3% ,60.0% ,P <0.01 ). The unusual rate of EEG in treatment group (21.8%) was lower than those in control group (73.3%, P <0.01 ). Conclusion: Methylphenidate combine with behavior treatment is superior to behavior treatment in treating ADHD in children.