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背景:注意缺陷多动障碍(attentionaldeficithyperkineticdisorder,ADHD)儿童的注意缺陷和学习困难国内研究较多,但对其记忆和执行功能的研究报道较少。目的:评估ADHD的记忆和执行功能。设计:以诊断为依据的病例对照研究。地点和对象:病例组患儿共45例,为2001-08/2002-02到镇江市第四人民医院门诊就诊的儿童,男39例,女6例,年龄7～14岁。对照组儿童共45例,为镇江市某小学1～6年级学生,男39例,女6例,年龄7～14岁。方法:采用儿童韦氏智力量表中的数字广度测验和韦氏记忆量表中的逻辑记忆和视觉记忆及威斯康星卡片分类测验分别对45例正常儿童和45例ADHD患儿进行检测。主要观察指标:ADHD患儿和正常儿童记忆之间以及ADHD各亚型之间的执行功能的比较。采用龚耀先标化的中国韦氏儿童智力量表及威斯康星卡片分类测验评定记忆和执行功能。结果:ADHD组中的数字广度、逻辑记忆、视觉记忆和威斯康星卡片中的总测验次数、正确反应数、持续错误数、非持续错误数以及分类数(15.12±2.00,9.98±4.16,17.06±3.83,105.52±24.75,21.17±3.43,45.87±21.02,22.99±8.47,1.09±0.31)与正常对照组(22.23±1.08,20.17±2.72,21.88±6.15,63.36±12.37,41.13±10.25,23.97±7.12,10.68±5.80,3.91±1.68)比较,差异有显著性意义(t
BACKGROUND: Children with attention deficit hyperactivity disorder (ADHD) have more attention deficits and learning difficulties in China, but few reports on their memory and executive function. Purpose: To assess the memory and executive function of ADHD. Design: A case-control study based on diagnosis. Location and Subjects: A total of 45 children in the case group were children from the Fourth People’s Hospital of Zhenjiang City from August 2001 to February 2002, 39 males and 6 females, aged 7 to 14 years. A total of 45 children in the control group, a grade 1 to 6 students in Zhenjiang City, 39 males and 6 females, aged 7 to 14 years. Methods: 45 children with normal ADHD and 45 children with ADHD were tested by Digital Breadth Test in Wechsler Intelligence Scale and Logical Memory and Visible Memory in Wechsler Memory Scale and Wisconsin Card Sorting Test. MAIN OUTCOME MEASURES: A comparison of executive function between children with ADHD and normal children and between subtypes of ADHD. Using Gong Wei Yao standardized Chinese Wechsler Intelligence Scale for Children and the Wisconsin Card Classification Test to assess memory and executive function. RESULTS: The numbers of breadth, logic memory, visual memory, and total number of tests in Wisconsin card, number of correct responses, number of persistent errors, number of unsolicited errors, and number of categories in the ADHD group (15.12 ± 2.00,9.98 ± 4.16,17.06 ± 3.83 , 105.52 ± 24.75, 21.17 ± 3.43, 45.87 ± 21.02, 22.99 ± 8.47, 1.09 ± 0.31) compared with the normal control group (22.23 ± 1.08, 20.17 ± 2.72, 21.88 ± 6.15, 63.36 ± 12.37, 41.13 ± 10.25, 23.97 ± 7.12, 10.68 ± 5.80,3.91 ± 1.68), the difference was significant (t