心理干预结合针灸治疗儿童多动症87例临床观察.docVIP

心理干预结合针灸治疗儿童多动症87例临床观察【摘要】 目的 观察心理干预结合针灸治疗儿童多动症的疗效。方法 采用心理干预结合针灸治疗87例多动症患儿,并与20例西药对照组进行临床对照。结果 治疗后两组行为积分值明显下降,有显著的统计学意义；心理干预结合针灸组总有效率显著高于西药对照组,且其疗效与年龄、病程无明显的相关性。结论 心理干预结合针灸治疗儿童多动症疗效显著。? 【关键词】心理干预；针刺疗法；儿童多动症 Clinical observation on treatment of 87 cases of childred attention deficit disorder by combined psychiatric therapy and acupuncture LIANG Feng,LIU Ai-hong.Zhumadia Mental Hospital,Zhumadia 463000,China ? 【Abstract】 Objective To observe the curative effect of combined psychiatric therapy and acupunctureon child attention deficit disorder.Methods Psychiatric therapy and acupuncture were combined to treat 87cases of childred attention deficit disorder with 20 cases treated with western medicine as a control.Results Behavior score decreased markedly in the two groups after treatment and there was a statistically significant difference.The total effective rate was significantly higher in the psychiatric therapy and acupuncture group than in the control group treated with western medicine.There was no significant correlation of the curative effect with age and the duration of disease.Conclusion The combination of psychiatric therapy and acupuncturehas a noticeable effect on child at-tention deficit disorder.? 【Key words】Psychiatric therapy；Acupuncture therapy；Children attention deficit disorder 儿童多动症(CHS)又称注意缺损障碍(ADD),是儿童时期最常见的行为障碍性疾病。本病多见于6~16岁儿童,它是一种较为常见的儿童行为障碍性疾患,男孩多于女孩，这些儿童的智能完全正常或接近正常,多数患儿在学龄期才受到家长和老师的注意。近几年来,应用心理干预结合针灸的方法对87例多动症患儿进行了治疗,并与20例西药对照组进行临床对照,现将临床观察结果报告如下。 1 临床资料 1．1 一般资料 治疗组87例中,男68例,女19例;年龄6~13岁,平均9．6岁;病程6 月~6年。对照组20例中,男16例,女4例;年龄6~14岁,平均10．1岁;病程1~5．5年。 1．2 诊断标准 患儿在排除神经精神疾病如精神发育迟缓、癫痫、抽动症等症后,按1987年,美国精神病学会制定的多动症儿童的诊断标准：频繁或严重计3分,一般计2分,轻微计1分,没有0分。总分≥14分,即可诊为儿童多动症。①常常在座位上玩弄手、脚或蠕动身体(在青春期,可能局限于主观上的好动感觉)；②难以按要求保持坐姿；③易受无关刺激的影响而分心；④难以在游戏或团体活动的情境中等待轮流的机会；⑤回答问题欠考虑,具有冲动性；⑥难以遵从他人的指令(不是出于反抗或不理解)；⑦难以将注意力保持在任务或游戏活动上；⑧常常一项活动还没完成就又去干其它事情；⑨难于安静地玩耍；⑩常常说话过多,喋喋不休；?B11?常常打断或插进别人的谈话；?B12?不能倾听别人的谈话；?B13?常常丢失生活常用品(如书、玩具、铅笔等)；?B14?常常采取冒险行动而不考虑后果。