摘要
【目的】探讨脑电生物反馈治疗对共患注意缺陷多动性障碍（attention deficit hyperactivity disorder，ADHD）和学习障碍患儿注意、智力的改善作用。【方法】应用Sprit-8脑电生物反馈治疗仪，对48例（6～12岁）共患ADHD和学习障碍患儿进行40次增强16～20Hzp波，抑制4--8Hz0波脑电反馈治疗，治疗前后采用脑电反馈仪检测患儿脑电波θ／β、θ／SMR功率比值的变化，采用听视觉持续注意测验软件检测注意稳定性变化，采用瑞文推理测验（SPM）评价智力水平变化。【结果】脑电反馈治疗后患儿θ／β、θ／SMR值较前明显下降（P〈0．01），注意指标中的漏报数、错误数、反应时间较前降低（P〈0．01），智商较前改善（P〈0．01）。【结论】脑电反馈治疗能够明显改善共患ADHD和学习障碍患儿的脑电异常、智力、注意力，且对脑电异常改善作用无左右脑半球特异性。
[Objective] To investigate the effect of electroencephalogram biofeedback treatment on improving brain function of children with comorbidity of attention deficit hyperactivity disorder（ADHD）and learning disorder. [Methods] Forty-eight children （aged 6- 12 years old） with comorbidity of ADHD and learning disorder diagnosed according to ICD-10 received 40 sessions of EEG biofeedback treatment. Feedback was contigent on enhancing 16-20 Hz beta activity and suppressing 4- 8 Hz theta activity. All subjects were measured at pretreatment and at posttreatment on EEG activity, Raven＇s Standard Progressive Matrices（SPM）, Continuous Performance Task（CPT）. Serum levels of beta-endorphin and BDNF were measured by enzyme linked immunosorbent assay. [Results] After treatment significant decreases were observed in the EEG ratio of the theta/beta and theta/SMR （P〈0. 01） ,in the errors commission and errors of omiss and reaction time of CPT （P〈0. 01）. IQ improved after treatment（P〈0.01）. [Conclusions] EEG biofeedback is highly effective in improving EEG spectrum,intelligence, attention of children with comorbidity of ADHD and learning disorder. The effect of EEG biofeedback is not hemispheric specific.
出处
《中国儿童保健杂志》
CAS
2008年第4期407-408,411,共3页
Chinese Journal of Child Health Care
基金
胜利石油管理局医学重点攻关课题(gky0505)
关键词
注意缺陷多动障碍
学习障碍
脑电生物反馈
儿童
智力
注意力
attention deficit hyperactivity disorder
learning disorder
EEG biofeedback
children
intelligence
attention
