中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
5期
847-849
,共3页
多发性抽动障碍%注意缺陷多动障碍%稳定性系数%静态平衡%临床研究
多髮性抽動障礙%註意缺陷多動障礙%穩定性繫數%靜態平衡%臨床研究
다발성추동장애%주의결함다동장애%은정성계수%정태평형%림상연구
tourette syndrome ( TS)%attention deficit hyperactivity disorder ( ADHD)%stability index%balance ability%clinical research
目的:探讨伴与不伴注意缺陷多动障碍( ADHD)的多发性抽动障碍( TS)患儿静态平衡功能特点。方法采用美国《精神障碍诊断与统计手册(第4版)》( DSM-IV)诊断标准,并按照性别年龄配对的不伴ADHD的TS、共患ADHD的TS及正常儿童各39例为研究对象,应用静态平衡测试系统测定其稳定性系数( ST)。结果不伴ADHD的TS患儿与正常对照组在睁眼自然站立、闭眼自然站立、睁眼脚垫站立、闭眼脚垫站立等各姿势稳定系数比较,均无显著性差异( t值分别为0.533、0.721、1.535、0.324,均P>0.05);不伴ADHD的TS患儿与共患ADHD的TS组在睁眼自然站立、闭眼自然站立、睁眼脚垫站立、闭眼脚垫站立等各姿势的稳定系数比较,均具显著性差异(t值分别为14.829、15.090、15.763、15.789,均P<0.01);共患ADHD的TS患儿与正常对照组在睁眼自然站立、闭眼自然站立、睁眼脚垫站立、闭眼脚垫站立等各姿势稳定系数比较,均具显著性差异(t值分别为15.057、14.410、16.888、15.823,均P<0.01)。结论不伴ADHD的TS患儿与共患ADHD的TS患儿可能具有不同的神经病理机制。
目的:探討伴與不伴註意缺陷多動障礙( ADHD)的多髮性抽動障礙( TS)患兒靜態平衡功能特點。方法採用美國《精神障礙診斷與統計手冊(第4版)》( DSM-IV)診斷標準,併按照性彆年齡配對的不伴ADHD的TS、共患ADHD的TS及正常兒童各39例為研究對象,應用靜態平衡測試繫統測定其穩定性繫數( ST)。結果不伴ADHD的TS患兒與正常對照組在睜眼自然站立、閉眼自然站立、睜眼腳墊站立、閉眼腳墊站立等各姿勢穩定繫數比較,均無顯著性差異( t值分彆為0.533、0.721、1.535、0.324,均P>0.05);不伴ADHD的TS患兒與共患ADHD的TS組在睜眼自然站立、閉眼自然站立、睜眼腳墊站立、閉眼腳墊站立等各姿勢的穩定繫數比較,均具顯著性差異(t值分彆為14.829、15.090、15.763、15.789,均P<0.01);共患ADHD的TS患兒與正常對照組在睜眼自然站立、閉眼自然站立、睜眼腳墊站立、閉眼腳墊站立等各姿勢穩定繫數比較,均具顯著性差異(t值分彆為15.057、14.410、16.888、15.823,均P<0.01)。結論不伴ADHD的TS患兒與共患ADHD的TS患兒可能具有不同的神經病理機製。
목적:탐토반여불반주의결함다동장애( ADHD)적다발성추동장애( TS)환인정태평형공능특점。방법채용미국《정신장애진단여통계수책(제4판)》( DSM-IV)진단표준,병안조성별년령배대적불반ADHD적TS、공환ADHD적TS급정상인동각39례위연구대상,응용정태평형측시계통측정기은정성계수( ST)。결과불반ADHD적TS환인여정상대조조재정안자연참립、폐안자연참립、정안각점참립、폐안각점참립등각자세은정계수비교,균무현저성차이( t치분별위0.533、0.721、1.535、0.324,균P>0.05);불반ADHD적TS환인여공환ADHD적TS조재정안자연참립、폐안자연참립、정안각점참립、폐안각점참립등각자세적은정계수비교,균구현저성차이(t치분별위14.829、15.090、15.763、15.789,균P<0.01);공환ADHD적TS환인여정상대조조재정안자연참립、폐안자연참립、정안각점참립、폐안각점참립등각자세은정계수비교,균구현저성차이(t치분별위15.057、14.410、16.888、15.823,균P<0.01)。결론불반ADHD적TS환인여공환ADHD적TS환인가능구유불동적신경병리궤제。
Objective To explore the stability index of children with Tourette syndrome ( TS ) with or without attention deficit hyperactivity disorder ( ADHD) .Methods According to DSM-IV diagnostic criteria, the study involved TS children with ADHD, pure TS children and normal controls.Each group consisted of 39 subjects, and the groups were matched by gender and age.The stability indexes were measured by Tetrax balance system.Results Compared with the controls, pure TS children were not significantly different in stability indexes of normal position with eyes open, normal position with eyes closed, opened eyes on pillows and closed eyes on pillows ( t value was 0.533, 0.721, 1.535 and 0.324, respectively, all P>0.05).But they were significantly different from TS children with ADHD (t value was 14.829, 15.090, 15.763 and 15.7889, respectively, all P<0.01).The differences in the stability indexes of these gestures were also significant between TS children with ADHD and normal children ( t value was 15.057, 14.410, 16.888 and 15.823, respectively, all P<0.01).Conclusion The pathogenic mechanisms may be different between TS children with ADHD and those without ADHD.