我国儿童注意缺陷多动障碍(ADHD)防治的指南.pptVIP

指南的推广和实施 9． 注意缺陷多动障碍防治指南的推广和实施 9.1 《中国精神卫生工作规划2002－2010》中与注意缺陷多动障碍预防有关的指标 9.2 加强卫生部门的主导作用，协调多部门共同参与精神疾病防治工作 9.3 推广和培训 9.4 开展普及教育，提高对重点精神疾病的知晓率 9.5 多渠道筹集经费，扩大推广范围 9.6 加强信息收集与评估，增强指南的指导性 What should we do for ADHD children in Future ? Set up education program for parents and teachers ? Improving the Mental Health system ? Creating ADHD treatment guideline ? Improving the CME for Psychiatrist, Paediatrician and Neurologist ? Carrying out the rational Multi-modal Interventions and emphasis that Medication is the first-line treatment for ADHD. Thank you ! 知识回顾Knowledge Review * Some of the important landmarks in the evolution of the concept of ADHD include: The British pediatrician, Sir George Still provided in 1902 early description of non-retarded non-brain damaged children suffering from defective volition and inattention and identified a 3:1 male:female ratio of prevalence. He stressed that inattention, impulsivity, and hyperactivity played a major role and that the condition did not respond to punishment. Several other workers, however, believed in their thesis of brain damage. In 1937, Bradley and others observed marked behavioral improvement in children receiving amphetamines. These studies re-focused the attention of the medical world to the earlier noting by Sir George Still on the behavioral syndrome of hyperactive-impulsive children. In 1963, the Oxford Conference, an international study group on child neurology coined the term “minimal brain dysfunction” to identify these children Synthesized research literature suggested in 1978 that cognitive rather than motor deficits were at the root of the condition. In 1968, the Diagnostic and Statistical Manual of Mental Disorders, second edition (DSM-II) and the International Statistical Classification of Disease (ICD-9) in 1965 renamed the disorder as hyperkinetic syndrome of chi