注意缺陷多动障碍儿童感觉统合与执行功能的相关分析

目的：探讨注意缺陷多动障碍(ADHD)儿童感觉统合与执行功能之间的关系。方法：对282例符合美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)ADHD诊断标准的门诊儿童，进行感觉统合功能和执行功能评定，对结果进行相关性分析。结果：感觉统合功能量表中，大肌肉及平衡能力的等级评分与Stroop测验的A反应时、总反应时呈正相关，与韦氏记忆中倒背数字得分呈负相关；触觉过度防御及情绪不稳的等级评分与Stroop测验的C错误数和色干扰呈负相关；本体感不佳、身体协调不良的等级评分与Stroop测验的C错误数和总错误数呈负相关；学习能力发展不足或协调不良的等级评分与Stroop测验的D反应时、总反应时、D错误数、总错误数以及瑞文标准推理测验的标准等级分呈正相关；大年龄的特殊问题的等级评分与Stroop测验的C错误数、D错误数、总错误数呈负相关。结论：ADHD儿童感觉统合功能，尤其是大肌肉和平衡能力、学习能力发展不足或协调不良与执行功能有关；ADHD儿童的感统失调，尤其是前庭网状结构功能失调引起的注意力损害,多动和冲动,与患儿的行功能缺陷有密切的联系．

Sensory Integration Function and the Executive Function in Children with ADHD

Objective:To study the relationship between the sensory integration function and the executive function in children with ADHD (attention deficit hyperactivity disorder) Method:Sensory Integration Scale, Stroop Test, Wechsler Memory Scale and Ravin's Standard Progressive Matrices were conducted among 2826 12-year-old children diagnosed as ADHD Result:The grades of the abilities of mass motor and balance were positively correlated with the A reaction time, total reaction time of Stroop Test, and negatively correlated with the score of down-reciting in Wechsler Memory Scale The standard score of lack of learning ability or mal-coordination was positively correlated with the D reaction time, total reaction time and the number of D errors and total errors in Stroop Test, and positively correlated with the standard grade in Ravin's Standard Progressive Matrices The negative correlation was existed between the grade of touch excessive defense, emotional instability and the errors in C part and the reaction time in interference of word color in the Stroop Test The grade of special problems in older children was also negatively correlated with the reaction times in part C, part D and the total number of errors of the Stroop Test Conclusion:The sensory integration function of children with ADHD has association with their executive function