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目的探讨统合训练联合盐酸哌甲酯治疗儿童多动症疗效。方法对2009-01-2010-10到我院就诊的50例7~12岁多动症患儿随机分两组,各25例,对照组服用盐酸哌甲酯治疗(商品名:专注达,西安杨森药厂生产),每次5 mg,2次/d,分别于早饭及午饭前服用,治疗组在对照组基础上加用统合训练,包括:平衡功能训练、抛接球训练、双任务训练、旋转训练、加压姿势训练、运动协调等训练,2次/d,每次30 min。在治疗前和治疗8周末,以中文版SNAP-IV家长评定量表进行疗效评定,减分率≥40%为有效,治疗8周后SNAP-IV量表所有项评分均为0或1为完全缓解。结果治疗8周后,治疗组、对照组有效率分别为82.6%(19/23)和60.0%(16/25),差异有统计学意义(P<0.01),完全缓解率分别为47.8%(11/23)和20.0%(5/25),差异有统计学意义(P<0.01)。结论采用统合训练联合盐酸哌甲酯治疗儿童多动症效果优于单用盐酸哌甲酯治疗。
Objective To investigate the effect of combined training with methylphenidate hydrochloride in children with ADHD. Methods A total of 50 children aged 7-12 years old with ADHD admitted to our hospital from January 2009 to October 2010 were randomly divided into two groups (n = 25 each). The control group was treated with methylphenidate hydrochloride (brand name: Factory production), each 5 mg, 2 times / d, were taken at breakfast and before lunch, the treatment group in the control group based on the use of combined training, including: balance function training, throw the ball training, dual task training, rotation Training, training postures, sports training and coordination, 2 times / d, each time 30 min. Before treatment and at the end of 8 weeks of treatment, the Chinese version of the SNAP-IV Parent Rating Scale was used to evaluate the curative effect. The reduction rate was ≥40%. After 8 weeks of treatment, all the scores of SNAP-IV scale were 0 or 1 ease. Results After 8 weeks of treatment, the effective rates of the treatment group and the control group were 82.6% (19/23) and 60.0% (16/25), respectively, with significant difference (P <0.01) and complete remission rates were 47.8% 11/23) and 20.0% (5/25), respectively. The difference was statistically significant (P <0.01). Conclusion The combined training with methylphenidate hydrochloride in children with ADHD is better than methylphenidate alone.