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【目的】调查掌握盐城市儿童注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)的发生情况及相关因素,对确诊ADHD患儿给予治疗并评价效果。【方法】采用Conners简明症状问卷对3 000名学龄儿童进行ADHD筛查,对阳性疑似患儿进行诊断,对相关因素进行调查。对确诊ADHD患儿运用不同的方法进行治疗,并比较疗效。【结果】ADHD筛查阳性率为6.02%,ADHD发病率为4.77%,男、女发病率差异有统计学意义(P<0.005)。父母遗传、轻度脑损伤和脑发育迟缓史、血铅含量高、感觉统合失调、家庭环境等因素与ADHD发生有关系。药物配合行为干预、心理支持等方法治疗ADHD效果明显。【结论】ADHD危害严重,应及早预防,药物是治疗ADHD的首选,ADHD的综合治疗可提高ADHD的疗效。
【Objective】 To investigate the incidence and related factors of attention deficit hyperactivity disorder (ADHD) in children with Yancheng and to evaluate the effect of treating ADHD. 【Methods】 Conners concise symptom questionnaire was used to screen 3 000 ADHD children with ADHD and to diagnose the positive children with suspected syndrome. The relevant factors were investigated. Children diagnosed with ADHD using different methods of treatment, and more effective. 【Results】 The positive rate of ADHD screening was 6.02% and the incidence of ADHD was 4.77%. There was significant difference between male and female (P <0.005). Parents’ inheritance, mild brain injury and history of brain retardation, high blood lead levels, sensory integration disorder, family environment and other factors are associated with the occurrence of ADHD. Drug cooperation behavior intervention, psychological support and other methods of treatment of ADHD obvious effect. 【Conclusion】 ADHD is seriously detrimental and should be prevented as soon as possible. Drugs are the first choice for the treatment of ADHD. Comprehensive treatment of ADHD can improve the therapeutic effect of ADHD.