四川省乐山市4~9岁儿童注意缺陷多动障碍的流行病学调查

发布时间：2018-07-14 10:49

【摘要】：目的:了解四川省乐山市4~9岁儿童注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)患病状况及影响因素,为儿童ADHD防治提供科学依据。方法:采用多阶段分层随机整群抽样的方法,在乐山市区随机抽取1 400例儿童进行调查。调查问卷由一般情况表和注意缺陷及多动症状调查表组成。采用SPSS 16.0软件进行数据分析。结果:1 400例调查儿童中共有ADHD患儿60例,ADHD患病率为4.29%(60/1400)。男、女儿童ADHD患病率分别为5.79%(42/726)、2.67%(18/674),男童高于女童(χ2=8.27,P0.01)。4~5岁、5~6岁、6~7岁年龄段儿童ADHD总体患病率分别为8.23%、3.13%和2.31%,随着年龄的增长呈现逐渐降低的趋势(χ2=8.27,P0.01)。多因素Logistic回归分析显示,家族史、父母文化程度、母亲妊娠期患病、早产、新生儿窒息是儿童ADHD患病的危险因素。结论:调查地区儿童ADHD患病水平较高,应根据患病特征和危险因素进行有针对性的健康教育和综合干预。
[Abstract]:Objective: to investigate the prevalence and influencing factors of attention deficit hyperactivity disorder (ADHD) in children aged 4 years old in Leshan, Sichuan Province, and to provide scientific basis for the prevention and treatment of ADHD in children. Methods: 1 400 children were randomly selected from Leshan city by multi-stage stratified random cluster sampling. The questionnaire is composed of general situation sheet and attention deficit and ADHD questionnaire. The data were analyzed by SPSS 16.0 software. Results the prevalence of ADHD in 60 children with ADHD was 4.29% (60 / 1400). The prevalence rate of ADHD in male and female children was 5.79% (42 / 726) and 2.67% (18 / 674), respectively. The prevalence rate of ADHD in boys was higher than that in girls (蠂 2 + 8.27 / P 0.01). Multivariate logistic regression analysis showed that the risk factors of ADHD were family history, parents' education level, maternal illness during pregnancy, premature delivery and neonatal asphyxia. Conclusion: the prevalence level of ADHD in children in investigated area is high. Health education and comprehensive intervention should be carried out according to the characteristics and risk factors of ADHD.
【作者单位】：四川省乐山市职业技术学院;乐山市妇幼保健院;
【分类号】：R749.94

【参考文献】