【摘要】 目的:了解注意缺陷多动障碍(ADHD)儿童持续性操作测试(CPT)临床特征。方法:采用持续性操作测试,对1 000例拟诊为ADHD的患儿进行视觉(VCPT)和听觉(ACPT)持续性操作测试,分析比较不同测试方法、不同性别和不同年龄患儿的测试结果。结果:ACPT总异常检出率(53.90%)显著高于VCPT(33.00%)(2χ=100.381,P<0.01);ACPT虚报错误、漏报错误及平均反应时间的T值和P值显著高于VCPT的T值和P值(P<0.01);女性ACPT异常检出率(56.32%)显著高于男性(53.39%)(2χ=55.542,P<0.01);VCPT男性患儿虚报错误的T值、P值显著高于女性,女性患儿的平均反应时间T值和P值显著高于男性;ACPT女性患儿的漏报错误和平均反应时间T值和P值显著高于男性患儿;不同年龄组异常检出率(VCPT/ACPT)由高到低为912岁组(37.48%/62.72%)、68岁组(29.21%/47.47%)和13岁以上组(25.58%/36.43%),差异有显著的统计学意义(2χ=10,P<0.01、2χ=38,P<0.01)。结论:ADHD患儿听觉注意障碍较视觉明显;男女患儿临床特征存在差别;912岁为ADHD患病高峰。根据ADHD患儿的个体特征进行针对性的干预可能更科学、更有效。更多还原

【Abstract】 Objective:To study the clinical features of attention deficit hyperactivity disorder(ADHD) in children.Methods:1 000 cases of suspected ADHD were checked with continuous performance task(CPT).The results of visual vontinuous performance task(VCPT) and audio continuous performance task(ACPT)were analyzed.Results:The prevalent rate of abnormal ACPT was significantly higher than that of VCPT(53.9%/33.0%;χ2=100.381,P<0.01);The P and T values of omission errors(OE),confusion errors(CE) and response time(RT) in ACPT were remarkably higher than those of VCPT(P<0.01);The prevalent rate of female’ s abnormal ACPT was higher than that of male’s(56.33%/53.38%;χ2=55.542,P<0.01);The P and T values of male’s CE were remarkably higher than those of female’s,while of RT was lower in VCPT.The P and T values of female’s OE and RT were remarkably higher than those of male’s in ACPT.The rank of prevalent rate of abnormal ACPT(VCPT/ACPT) in different age groups was 9~12 years(37.48%/62.72%),6~8 years(29.21%/47.47%) and more than 13years(25.58%/36.43%) There was a significantly difference among them(χ2=10,P<0.01/χ2=38,P<0.01)..Conclusion:The audio attention damage of ADHD children is more severe than the visual attention.There are many different clinical features between male and female 9~12 years is the peak ages.Therefore,it is more effective to treat ADHD patients based on individual clinical features.更多还原