摘要
目的探讨注意缺陷多动障碍(ADHD)患儿的视听反应与伴随性负变化(CNV)的临床价值。方法选取2020年1月至2021年12月该院妇女儿童和儿童青少年门诊年龄为7~12岁ADHD患儿90例,30例健康儿童作为对照。分别作ADHD筛查量表(SNAP-Ⅳ量表)检测、视听整合持续性操作测试(IVA-CPT)评估及CNV测验。采用χ^(2)检验和独立样本t检验验证ADHD患儿在认知功能方面的规律。结果(1)两组SNAP-Ⅳ评分比较,差异有统计学意义(P<0.05)。(2)两组的IVA-CPT在综合、视听注意商数和控制商数方面比较,差异均有统计学意义(P<0.05);两组被试者在承担作业任务时的视听注意集中和保持能力比较,差异有统计学意义(P<0.05)。(3)两组CNV在PINV潜伏期差异无统计学意义(P>0.05);在PINV波幅方面,ADHD患儿组显著低于正常对照组,差异有统计学意义(P<0.05)。结论(1)ADHD患儿的注意缺陷/多动表现显著影响其日常活动,并为其父母明显觉察。(2)ADHD患者在完成日常活动和学习相关作业任务时的视听注意集中程度和保持能力显著降低。(3)ADHD患者CNV测试的差异主要体现在波幅上。
Objective To explore the clinical value of audio-visual response and CNV changes in children with attention deficit hyperactivity disorder(ADHD).Methods A total of 90 ADHD children aged 7-12 years were selected and 30 healthy children were selected as controls.The Swanson,Nolan and Pelham-IV rating scales(SNAP-Ⅳscale),the integrated visual and auditory continuous performance test(IVA-CPT)and CNV test were performed respectively.Theχ^(2) test and independent samples t test were used to verify the regularity of cognitive function in children with ADHD.Results(1)The difference of SNAP-Ⅳscores between the two groups was statistically significant(P<0.05).(2)The differences of synthesis,audiovisual attention quotient and control quotient in IVA-CPT between the two groups were statistically significant(P<0.05),and there were statistically significant differences in the ability of audio-visual attention concentration and retention between the two groups in undertaking assignment tasks(P<0.05).(3)There was no significant difference of CNV in the PINV latency between the two groups(P>0.05).In terms of PINV amplitude,ADHD group was significantly lower than control group and the difference was statistically significant(P<0.05).Conclusion(1)The performance of ADHD patients′attention deficit/hyperactivity significantly affects their daily activities,and it is obvious to their parents.(2)The degree of concentration and retention of audio-visual attention and retention of ADHD patients in completing daily activities and learning-related homework tasks are significantly reduced.(3)The difference of CNV test in ADHD patients is mainly reflected in the amplitude.
作者
方海燕
何强
薛茜
曾艳
黄小青
熊杰
FANG Haiyan;HE Qiang;XUE Xi;ZENG Yan;HUANG Xiaoqing;XIONG Jie(The Second People′s Hospital of Guizhou Province Female General Psychiatry,Guiyang,Guizhou 550002,China)
出处
《现代医药卫生》
2023年第11期1814-1817,共4页
Journal of Modern Medicine & Health
基金
贵州省卫生健康委科学技术资助项目(gzwjkj2020-1-092)。
