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目的:观察针刺对注意力缺陷多动症(Attention Deficit Hyperactivity Disorder,ADHD)儿童的影响。方法:纳入36例患儿,治疗前进行中医体质调查,根据体质调查结果,将患儿分组进行针刺干预,并于治疗前、治疗12星期和治疗24星期后进行心率变异测定及注意力检测。结果:ADHD患儿多为阳盛和热盛体质。患儿身体质量指数(BodyMassIndex,BMI)评分与注意力不集中(Attention Deficit Disorder,ADD)有中度相关性。治疗24星期后,患儿的ADHD评分由治疗前的(10.94±1.98)分降至(8.56±2.48)分,治疗前后有统计学差异(P<0.05);两组的LF/HF及标准化低频功率(Normalized LowF requency,nLF)有统计学差异(P<0.05)。结论:ADHD患儿以阳盛和热盛体质为主。合理控制身体质量指数(Body Mass Index,BMI)对治疗ADHD有帮助。针刺治疗可成为改善ADHD症状的辅助疗法。
Objective: To observe the effect of acupuncture on children with attention deficit hyperactivity disorder (ADHD). Methods: Thirty-six children were enrolled in this study. Before the treatment, the physical constitution of the Chinese medicine was investigated. According to the results of the physique investigation, the children were divided into groups and acupuncture intervention was performed. Heart rate variability and attention were measured before treatment, 12 weeks after treatment and 24 weeks after treatment . Results: Most children with ADHD yang Sheng and hot Sheng constitution. Children with Body Mass Index (Body Mass Index, BMI) score and attention deficit (Attention Deficit Disorder, ADD) moderate correlation. After treatment for 24 weeks, the ADHD score of children decreased from (10.94 ± 1.98) to (8.56 ± 2.48) before treatment and there was a significant difference before and after treatment (P <0.05); LF / HF and standardized low frequency Normalized Low F requency (nLF) was statistically significant (P <0.05). Conclusion: ADHD children with Yang Sheng and heat-based constitution. Rational control of Body Mass Index (BMI) is helpful in the treatment of ADHD. Acupuncture can be an adjunct therapy to improve the symptoms of ADHD.