【摘要】 目的对注意缺陷多动障碍(attentiondeficithyperactivitydisor-der,ADHD)患儿的平衡功能进行定量测评,探讨不同亚型平衡功能特点以及亚型之间的差异。方法使用平衡功能测试仪测量116例AD-HD患儿和34例正常儿童在8种不同状态下维持平衡的能力,分析不同亚型平衡功能特点。结果注意缺陷亚型在除固定平面睁眼和左脚站立睁眼以外的6种状态下,摇摆速率均显著高于对照组(P<0.05);多动-冲动亚型在固定平面闭眼、海绵垫平面睁眼及闭眼、单脚站立闭眼状态下,摇摆速率均显著高于对照组(P<0.05);混合亚型在除右脚站立闭眼以外的7种测试状态下,摇摆速率均显著高于对照组(P<0.05)。多动-冲动亚型在海绵垫平面闭眼状态下的摇摆速率(2.5±0.8)%比混合型(2.0±0.7)%和注意缺陷亚型(2.0±0.8)%都高,差异有显著性意义(P<0.05,P<0.01)。结论不同亚型ADHD患儿的平衡功能较正常儿童均有损害,混合型患儿功能缺陷最严重。3种亚型视觉与本体感觉系统的损害程度相似,多动-冲动亚型前庭系统功能的损害较混合型和注意缺陷亚型为重。更多还原

【Abstract】 Aim To study the differences of equilibrium function among different subtypes of attention deficit hyperactivity disorder(ADHD). Methods 116 ADHD patients were divided into three groups: ADHD I group (n=48), ADHD H group (n=17) and ADHD C group (n=51), and 34 normal children were used as controls. The equilibrium function was assessed by the Balance Master, which can test the sway velocity under eight kinds of conditions.Results Compared with normal controls, the sway velocity of ADHD C children was significantly higher under the seven conditions except eyes closed with right foot stance( P< 0.05) ; the sway velocity of ADHD I children was significantly higher under the six conditions except eyes opened with firm surface and eyes opened with left foot stance( P< 0.05) ; the sway velocity of ADHD H children was significantly higher under the conditions of eyes closed with firm or foam surface, eyes opened and closed with unilateral stance( P< 0.05) .Only under the condition of eyes closed with foam surface, the sway velocity of ADHD H children was (2.5± 0.8)% , significantly higher than that of ADHD I children(2.0± 0.8)% and ADHD C children(2.0± 0.7)% ,(P< 0.01,P< 0.05). Conclusion The equilibrium function of the patients with the three subtypes of ADHD is damaged compared with that of the normal children, while the damage of the children with ADHD C is the worst. The impairment degree of visual and proprioception systems is similar among the three subtypes. However, the vestibular system is damaged more seriously in ADHD H children than in ADHD C and ADHD I children.更多还原