贵阳市城区幼儿园儿童注意缺陷多动障碍流行病学调查

发布时间：2019-05-21 08:43

【摘要】：目的了解贵阳市幼儿园儿童注意缺陷多动障碍(ADHD)检出情况,为ADHD的早期发现、早期诊断及早期治疗提供参考依据。方法随机整群抽取贵阳市城区21个幼儿园的4 489名3~6岁儿童作为调查对象。采用美国精神疾病诊断和统计手册第4版ADHD诊断标准量表进行筛查。初筛为阳性的儿童,再由2名小儿神经专业的主治医师到幼儿园进行现场排查以确诊。结果贵阳市城区幼儿园儿童ADHD检出率为1.38%,男、女童检出率差异无统计学意义。4岁年龄组检出率最高,为2.05%。汉族儿童检出率为1.33%,少数民族检出率为1.55%。但各组别之间差异均无统计学意义(P值均0.05)。结论贵阳市城区幼儿园3~6岁儿童ADHD的患病情况不容乐观,应予以高度关注。
[Abstract]:Objective to investigate the detection of attention deficit hyperactivity disorder (ADHD) in kindergarten children in Guiyang City, and to provide reference for early detection, early diagnosis and early treatment of ADHD. Methods A total of 4 489 children aged 3 years and 6 years old from 21 kindergartens in Guiyang City were randomly selected as the subjects. The fourth edition of the American Diagnostic and Statistical Manual of Mental illness (ADHD) was used for screening. The children with positive screening were diagnosed by 2 attending doctors majoring in Pediatric Neurology to the kindergarten for on-the-spot examination. Results the detection rate of ADHD in kindergarten children in Guiyang city was 1.38%. There was no significant difference between male and girl. The detection rate was the highest in 4-year-old group (2.05%). The detection rate of Han children and ethnic minorities was 1.33% and 1.55% respectively. However, there was no significant difference among each group (P 0.05). Conclusion the prevalence of ADHD in children aged 3 years and 6 years old in urban kindergartens of Guiyang City is not optimistic and should be paid close attention to.
【作者单位】：湖北省武汉市妇女儿童医疗保健中心儿童保健科;贵阳医学院附属医院儿科;贵阳医学院公共卫生学院;
【基金】：贵州省教育厅自然科学研究项目(黔教科2007026)
【分类号】：R749.94

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