感觉统合训练联合心理行为干预对注意缺陷多动障碍患儿的疗效

目的 观察感觉统合训练联合心理行为干预治疗儿童注意缺陷多动障碍症的临床效果。 方法 选取2017年9月-2018年6月在宁波市妇女儿童医院进行治疗的儿童注意缺陷多动障碍患儿96例,按照随机数字表法分为观察组和对照组各48例,2组患儿均已明确诊断并系统采用药物进行治疗,观察组患儿应用感觉统合训练联合心理行为干预,对照组患儿应用心理行为干预。比较2组患儿感觉统合评定量表项目评分、Conners简明症状问卷多动得分(PSQ评分)及患儿视听觉注意力测试评分。 结果 干预前,2组患儿感觉统合各项能力评分、PSQ评分比较无统计学意义,P>0.05;连续干预3个月后,观察组患儿感觉统合各项能力评分均高于对照组患儿,且PSQ各项评分均低于对照组患儿,P<0.05;注意力测试结果显示:观察组患儿反应时间为(50.83±0.57)s、错误数为(54.32±0.81)个、漏报数为(67.23±0.56)个,均少于对照组的(55.69±0.46)s、(60.23±0.77)个、(69.79±0.68)个,均P<0.05。 结论 在常规治疗的基础上,通过感觉统合训练联合心理行为干预可有效改善注意缺陷多动障碍患儿症状,有利于提高患儿认知、行为能力,有效改善患儿平衡功能,值得临床应用。 

Effect of sensory integration training combined with psychological and behavioral interventions on children with attention deficit hyperactivity disorder

Objective To observe the application effect of sensory integration training (SID) combined with psychological behavior intervention in children with attention deficit hyperactivity disorder (ADHD). Methods Ninety-six patients with attention deficit hyperactivity disorder were enrolled in our hospital from September, 2017 to June, 2018. According to the random number table method, 96 patients were divided into observation group and control group with 48 cases in each group, and all patients in both groups were treated with western medicine. The control group used psychological behavior intervention, while the observation group received additional sensory integration training combined with psychological behavior intervention. The sensory integration scores, Patient Satisfaction Questionnaire (PSQ) scores, and visual and auditory attention scores were tested and compared. Results Before the intervention, there were no statistically significant scores of sensory integration scores and PSQ scores between the two groups (P>0.05). After 3 months of continuous intervention, the scores of sensory integration in the observation group were all higher than that in the control group, and the scores of PSQ were lower than those of the control group, P<0.05. The results of attention test showed that the response time (50.83±0.57) s, number of errors (54.32±0.81) and missing number (67.23±0.56) of the observation group were lower as compared with the control group[(55.69±0.46)s, (60.23±0.77), (69.79±0.68, respectively)], P<0.05.