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目的了解本地区学龄儿童多动症的分布特点和影响因素。方法整群抽取莆田县城乡学龄儿童12638名,先以Canner氏(教师和家长用)多动症简化量表作一级筛查,对阳性者用CCMD-2-R诊断标准作二级诊断,同时进行相关因素调查分析。结果本病患病率为3.21%,男女患儿之比为3.16:1;男童患病率随年龄增加里下降趋势,而女童患病率变化不大;城乡条件和家长文化程度、职业、家教方式及遗传等因素不同,其患病率差异显著。结论本地区学龄儿童多动症患病率及男女童患病比例较国内外多数报道低;本病的发生与家庭、社会环境和遗传等因素有关;提示本病的矫治必须由家庭、学校、医院三方密切配合。
Objective To understand the distribution characteristics and influential factors of ADHD in school-age children in this area. Methods A total of 12 638 school-age children in urban and rural areas of Putian county were enrolled in this study. First, the Canner’s ADHD Simplified Scale was used as a screening test. Positive patients were diagnosed with secondary CCMD-2-R diagnostic criteria, Related Factors Investigation and Analysis. Results The prevalence of this disease was 3.21%, the ratio of male to female children was 3.16: 1. The prevalence of boys decreased with increasing age, while the prevalence of girls did not change much. The urban and rural conditions and parental culture Degree, occupation, tutoring and genetic factors, the prevalence was significantly different. Conclusions The prevalence of ADHD and the prevalence of ADHD in boys and girls in this area are lower than most of the reports at home and abroad. The incidence of this disease is related to family, social environment and genetic factors. It suggests that the correction of this disease must be carried out by families, schools and hospitals Closely with.