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药物加行为治疗儿童注意缺陷多动障碍的临床研究

Clinical Observation of Methylphenidate Combined with Behavior Treatment in Treating Attention Deficit Hyperactivity Disorder in Children
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摘要 目的:探讨中枢兴奋剂哌甲酯与行为治疗相结合对儿童注意缺陷多动障碍(attentiondeficit hyperactivity disorder A DHD)的临床疗效。方法:将符合ADHD诊断标准的100例患儿随机分为两组:哌甲酯加行为治疗55例为治疗组,单纯行为治疗45例为对照组。治疗4周后观察临床三大核心症状消退情况及半年后脑电图的变化。结果:治疗组临床显效率(63.6%)及总有效率(90.9%)均高于对照组,(33.3%,60.0%),两组差异显著(P<0.01),半年后治疗组脑电图异常率(21.8%)低于对照组(73.3%),两组差异显著(P<0.01)。结论:哌甲酯与行为治疗相结合对注意缺陷多动障碍的疗效优于单纯行为治疗。 Objective: To explore the effectiveness of Methylphenidate and behavior treatment on attention deficit hyperactivity disorder(ADHD) in children. Method: 100 ADHD in children were divided randomly into two groups : treatment group with methylphenidate combined with behavior treatment ( n = 55 ) ; control group without methylphenidate treatment ( n = 45 ). The changes of three central symptoms operation 4 weeks after and electroencephalogram (EEG ) half year later in two groups were recorded. Result: In treatment group ,the clinical markedly effective rate(63.6% )and effective rate (90.9%)were higher than those in control group(33.3% ,60.0% ,P 〈0.01 ). The unusual rate of EEG in treatment group (21.8%) was lower than those in control group(73.3% ,P 〈0.01). Conclusion: Methylphenidate combine with behavior treatment is superior to behavior treatment in treating ADHD in children.
作者 刘克苗
出处 《河北医学》 CAS 2009年第9期1050-1052,共3页 Hebei Medicine
关键词 注意缺陷多动障碍 哌甲酯 行为治疗 儿童 Attention deficit hyperactivity disorder Methylphenidate Behavior treatment Children
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