脑电生物反馈训练对注意缺陷多动障碍儿童疗效分析.docVIP

脑电生物反馈训练对注意缺陷多动障碍儿童疗效分析 　　[摘要] 目的:探讨脑电生物反馈训练对注意缺陷多动障碍(ADHD)患儿的疗效。方法:对36例ADHD患儿进行脑电生物反馈训练, 于治疗前、治疗20、40 次后,利用持续操作性测试(CPT)和临床症状评估对脑电生物反馈训练的疗效进行评定。结果:治疗20 次后ADHD儿童的多动因子、多动指数改善(P0.05);CPT测试的漏按率无进一步改善(P0.05),反应时明显改善(P0.05),而误按率无明显变化。结论:40次比20次脑电生物反馈训练能有效改善ADHD患儿的临床症状,值得临床推广应用。 　　[关键词] 注意缺陷多动障碍;脑电生物反馈训练;儿童 　　[中图分类号] R749.94 [文献标识码]A [文章编号]1674-4721(2010)06(a)-022-02 　　 　　The study of effectiveness of electroencephalogram biofeedback training on children with attention deficit hyperactivity disorder 　　JIANG Suhua 　　(The First Peoples Hospital of Foshan City,Guangdong Province, Foshan 528000,China) 　　[Abstract ] Objective:To explore the effectiveness of EEG biofeedback training on children with attention deficit hyperactivity disorder(ADHD). Methods:36 children with ADHD underwent EEG biofeedback treatment.Assessment of clinical symptom and CPT test were carried out before treatment and after 20 times treatment and after 40 times treatment. Results:After 20 times treatment, there was significantly difference in hyperactivity factor, hyperactivity index and omission rate in CPT before and after treatment in ADHD children (P0.05).After 40 times treatment, hyperactivity factor and hyperactivity index continued to improve(P0.05) , there was significantly difference in Connersbehavior factor and learning factor and reaction time in CPT,but no difference in connerssomatic factor and anxiety factor and omission rate in CPT. Conclusion:Forty sessionsEEG feedback treatment is more effective than 20 sessionson clinical symptoms of ADHD childrens,it is worthy to promotion and application in clinical. 　　[Key words] Attention deficit and hyperactivity disorder;Electro encephalographic biofeedback;Children 　　 　　注意缺陷多动障碍(Attention deficit hyperactivity disorder,ADHD) 以与年龄不相称的注意力不集中、冲动及过度活动为核心症状。脑电生物反馈治疗作为一种非药物的干预方法, 对约75%的ADHD儿童有效, 可以改善其注意力、冲动性、反应速度及稳定性[1-2]。但各研究的治疗时间存在较大差异,不同疗程的疗效特点是否存在差异,本研究运用CPT和临床症状评估对不同脑电生物反馈治疗次数前后进行评估,以进一步了解延长治疗时间后EEG反馈治疗对ADHD患儿的临床疗效。 　　1资料与方法 　　1.1 一般