感觉统合训练联合盐酸哌甲酯治疗儿童注意缺陷多动障碍临床疗效分析

目的探讨感觉统合训练（SIT）联合盐酸哌甲酯治疗儿童注意缺陷多动障碍（ADHD）的临床疗效。方法对2009年1月-2013年3月就诊的96例ADHD患儿的临床资料行回顾性分析,并按随机数字表分组,研究组（n=48）联合SIT及盐酸哌甲酯治疗,对照组（n=48）单用盐酸哌甲酯治疗,比较两组儿童感觉统合能力发展评定量表、视听连续整合测试（IVA-CPT）、Conner行为评定量表、韦氏儿童智力量表（C-WISC）评分及不良反应情况。结果两组ADHD患儿治疗后感觉统合评定量表各项目评分,IVA-CPT中综合反应控制商数及综合注意力商数,C-WISC中操作量表智商、言语量表智商、全量表智商及注意/不分心因子评分均较之治疗前有明显提高;Conner行为评定量表中学习、品行、身心障碍、冲动、多动指数、焦虑因子评分均有下降,治疗前后比较差异有统计学意义（P〈0.05）。研究组加行SIT后感觉统合评定量表、IVA-CPT、Conner行为评定量表、C-WISC各项评分改善均较对照组明显,且不良反应明显少,两组比较差异有统计学意义（P〈0.05）。结论对于ADHD患儿,SIT联合盐酸哌甲酯治疗,有效且安全,值得推广。

Clinical Efficacy of Sensory Integration Training Combined with Methylphenidate Hydrochloride on Attention Deificit Hyperactivity Disorder in Children

Objective To observe the effect of sensory integration training combined with methylphenidate hydrochloride on attention deficit hyperactivity disorder（ADHD）. Methods The clinical data of 96 patients with ADHD diagnosed between January 2009 and March 2013 were retrospectively analyzed. The patients were divided into two groups by the table of random number. The trail group（n=48） received the combination therapy of sensory integration training combined with methylphenidate hydrochloride; while the control group（n=48） only received the medication of methylphenidate hydrochloride. The scores of sensory integration ability rating scale, integrated visual and auditory continuous performance test（IVA-CPT）, Conner＇s behavior rating scale, Chinese Wechsler Intelligence Scale for Children（C-WISC） and adverse reactions were observed and compared between the two groups. Results The scores of the sensory integration ability rating scale, FRCQ, FAQ（IVA-CPT）, PIQ, VIQ, FIQ, C factor（C-WISC） in both of the two groups were significantly higher after the therapy; while the scores of the study, behavior, somatopsychic disturbance, impulsion, hyperactivity index and anxiety factor significantly decreased after the treatment（P〈0.05）. Compared with the control group, the trial group＇ s scores of sensory integration ability rating scale, IVA-CPT, Conner＇s behavior rating scale, C-WISC were improved obviously, and the adverse reactions were significantly less（P〈0.05）. Conclusion The sensory integration training combined with methylphenidate hydrochloride is sage and effective on children with attention deficit hyperactivity disorder.