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儿童注意缺陷多动障碍脑电生物反馈训练疗效的对照研究
作者:熊忠贵1  徐海青2  石淑华1 
单位:1. 华中科技大学同济医学院公共卫生学院 湖北 武汉 430030 
2.
 湖北省妇幼保健院 湖北 武汉 430070 
关键词:儿童 ADHD 脑电生物反馈训练 疗效 
分类号:R395.5
出版年,卷(期):页码:2006,14(2):207-208
摘要:

目的:研究脑电生物反馈训练治疗儿童注意缺陷多动障碍(ADHD)的效果。方法:利用美国ProComp+/Bio-Graph脑电生物反馈系统治疗儿童ADHD,每次30分钟,每周2次,共计40次,并采用视听整合连续性行为测试(I-VA-CPT)作为脑电生物反馈训练疗效的评定方法。结果:在60例ADHD儿童中,以注意缺陷为主型综合注意力商数为70.10±11.79,以多动冲动为主型综合反应控制商数为75.10±10.98,混合型综合注意力商数和综合反应控制商数分别为58.05±16.53和68.90±11.47。经脑电生物反馈训练治疗后,儿童ADHD以注意缺陷为主型、以多动冲动为主型和混合型IVA-CPT指标均显著提高(P<0.001)。结论:脑电生物反馈训练是一种治疗儿童ADHD的有效措施。

Objective: To study the effectiveness of EEG biofeedback training on children with attention deficit hyperactivity disorder(ADHD).Methods: ProComp+/BioGraph EEG biofeedback training was applied to treat children with ADHD, 30 minutes each time, 2 times per week, amounting to 40 times.Integrated Visual and Auditory Continuous Performance Test(IVA-CPT)was clinically adopted to evaluate the effectiveness of EEG biofeedback training.Results: Of all 60 children with ADHD, the combined attention quotient of predominated inattentive subtype was 70.10±11.79;the combined control quotient of predominated hyperactive subtype was 75.10±10.98;and the combined attention quotient and combined control quotient of combined subtype were 58.05±16.53 and 68.90±11.47.After 40 times of EEG biofeedback training, the overall indexes of IVA-CPT were significantly improved among predominately inattentive, hyperactive, and combined subtype of children with ADHD(P<0.001).Conclusions: EEG biofeedback training is an effective and vital treatment on children with ADHD.

基金项目:
湖北省卫生厅青年科技人才基金资助(项目号:QJX2005-12)
作者简介:
参考文献:

[1] Carrie Morantz,Brian Torrey.Guidelines on diagnosis and management of ADHD.American Family Physician,2003,68(5):971-972
[2] Charlotte Abbott,Sarah F Gold,Mark Rotella.A symphony in the brain:The evolution of the new brain wave biofeedback.Publishers Weekly,2000,247(14):70-71
[3] 李雪霓,王玉风,舒良,等.脑电生物反馈治疗儿童注意缺陷多动障碍的对照研究.中华精神科杂志,2001,34(3):168-171
[4] Alan WB,Thomas DO.Alternative treatment for attentiondeficit/hyperactivity disorder:does evidence support their use? Alternative Therapies in Health and Medicine,2002,8(1):68-74
[5] 陈一心,林节,焦公凯,等.脑电反馈治疗注意缺陷多动障碍儿童的有效性分析.中国行为医学科学杂志,2003,12(5):513-515
[6] Thomas Fuchs,Niels Birbaumer,Werner Lutzenberger,et al.Neurofeedback treatment for attention deficit hyperactivity disorder in children:a comparison with Methylphenidate.Applied Psychophysiology and Biofeedback,2003,28(1):1-12

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