本文报告了2,000名学龄儿童中MBD发病调查方法和结果,及52例患儿口服苯丙胺的疗效观察,并对有关诊断治疗问题进行了讨论。调查结果发病率为7.1％,男女之比为4.07:1,发病年龄以9—12岁居多。随机抽样对比说明MBD患儿中难产、3岁内脑病、外伤史、遗尿等明显的多于正常对照组儿童,而近亲结婚、高热惊厥等则两组无显著差别。 MBD(minimal brain dysfunction syndrome)即脑功能轻微障碍综合征,是学龄儿童中较常见的一组慢性精神神经功能障碍综合征,受到国内外的高度重视。作者于82年7—12月份不加选择地对本地区1—5年级的2,000名学龄儿童进行了调查,并对其中确诊的52名患儿采用国产右旋苯丙胺口服治疗,进行了系统的观察,现将调查治疗结果分析报告如下。 This article reports on the survey methods and results of MBD in 2,000 school-age children and the efficacy of oral amphetamines in 52 children, and discusses the diagnosis and treatment issues. The incidence of the survey was 7.1%, the ratio of men to women was 4.07: 1, and the age of onset was mostly between 9-12 years old. Random sampling comparison showed that children with MBD had obviously more dystocia, encephalopathy within 3 years, history of trauma, enuresis and so on than the control group. However, there was no significant difference between the two groups in terms of marriage, febrile seizures and so on. Minimal brain dysfunction syndrome (MBD) is a group of chronic psychiatric dysfunction syndrome, which is the most common school-aged children with severe brain dysfunction syndrome and is highly valued both at home and abroad. In July and December of 1982, the authors conducted a survey of 2,000 school-age children in grades 1-5 in our region without any selections. Fifty-two children diagnosed in this area were treated with oral dextroamphetamine and were systematically observed. Analysis of the treatment results will now report as follows.