感觉统合训练对注意缺陷多动障碍儿童干预效果分析

张勋; 孙玉燕; 康娟; 廖文静; 周国岭

doi:10.16766/j.cnki.issn.1674-4152.002286

感觉统合训练对注意缺陷多动障碍儿童干预效果分析

doi: 10.16766/j.cnki.issn.1674-4152.002286

杭州市第七人民医院儿童心理科，浙江杭州 310013

基金项目:

浙江省医药卫生科技计划项目 2020RC030

详细信息

通讯作者:
周国岭，E-mail：zhougl0120@163.com

中图分类号: R395.2
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- 文章访问数: 207
- HTML全文浏览量: 43
- PDF下载量: 17
- 被引次数: 0
出版历程
- 收稿日期: 2020-06-17
- 网络出版日期: 2022-03-03

Analysis of the effect of sensory integration training on children with attention deficit hyperactivity disorder

Department of Child Psychology, Hangzhou Seventh People's Hospital, Hangzhou, Zhejiang 310013, China

摘要

摘要: 目的分析药物治疗、感觉统合训练和行为治疗对儿童注意缺陷多动障碍的治疗效果。方法选取杭州市第七人民医院2017年1月—2019年6月儿童心理科门诊收治的72例注意缺陷多动障碍(ADHD)患儿作为研究对象；采用随机数字表法将患儿分为对照组(药物治疗+行为治疗)和观察组(感觉统合训练+行为治疗+药物治疗)，每组36例。比较2组患儿干预前后Conners父母问卷、感觉统合能力评分、SNAP-4评分、韦氏儿童智力量表(C-WISC)分值，比较2组患儿家属对干预效果的满意率。结果干预后2组感觉统合能力各项分值均提高且观察组高于对照组(均P＜0.05)。干预后2组Conners父母问卷均降低且观察组[(39.01±0.15)分]低于对照组[(41.65±0.16)分，t=72.224，P＜0.001]。干预后2组SNAP-4均降低且观察组[(56.21±3.21)分]低于对照组[(62.03±3.09)分，t=7.838，P＜0.001]。干预后2组C-WISC各项分值均提高且观察组高于对照组(均P＜0.05)。观察组家属满意率(97.22%)高于对照组(77.78%，χ²=4.571，P=0.033)。结论在行为治疗、药物治疗基础上给予感觉统合训练能进一步提高患儿感觉统合能力，改善其行为，提高智力水平和家属对干预效果的满意度，值得推广。
- 儿童注意缺陷多动障碍 /
- 感觉统合训练 /
- 感觉统合能力 /
- 行为 /
- 智力
Abstract: Objective To analyze the effect of drug therapy, sensory integration training and behavioral therapy on children with attention deficit hyperactivity disorder (ADHD). Methods A total of 72 children with ADHD admitted to the outpatient Department of Child Psychology of Hangzhou Seventh People's Hospital from January 2017 to June 2019 were selected as the research objects. They were randomly divided into control group (behavior therapy+drug treatment) and observation group (sensory integration training+behavior therapy+drug treatment), 36 cases in each group. The Conners parental questionnaire, sensory integration ability score, SNAP-4 score and C-WISC score were compared between the two groups before and after the intervention. The satisfaction rate of family members of the two groups was compared. Results After the intervention, the scores of sensory integration ability of the two groups were improved, and the observation group was higher than the control group (all P < 0.05). The Conners parental behavior table of the two groups decreased, and the observation group [(39.01±0.15) points] was lower than the control group [(41.65±0.16) points, t=72.224, P < 0.001]. The SNAP-4 of the two groups decreased, and the observation group [(56.21±3.21) points] was lower than the control group [(62.03±3.09) points, t=7.838, P < 0.001]. The C-WISC scores of the two groups were increased, and the observation group was higher than the control group (all P < 0.05). The satisfaction rate of family members in the observation group (97.22%) was higher than that in the control group (77.78%, χ²=4.571, P=0.033). Conclusion Sensory integration training on the basis of behavioral therapy and drug therapy can further improve children's sensory integration ability, improve their behavior, improve their intelligence level and family members' satisfaction with the intervention effect, which is worthy of promotion.
- Children's attention deficit hyperactivity disorder /
- Sensory integration training /
- Sensory integration ability /
- Behavior /
- Intelligence

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表 1 2组ADHD患儿一般资料比较

组别	例数	性别 (男/女，例)	年龄 (x±s, 岁)	病程 (x±s，年)	民族(汉族/少数民族, 例)
观察组	36	20/16	8.06±1.21	3.10±0.42	32/4
对照组	36	19/17	7.89±1.33	3.12±0.62	34/2
统计量		0.059^a	0.567^b	0.160^b	0.182^a
P值		0.813	0.572	0.873	0.670
注：^a为χ²值，^b为t值。

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表 2 2组ADHD患儿干预前后感觉统合能力比较(x±s, 分)

组别	例数	学习能力		触觉		本体感		前庭平衡觉
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
观察组	36	34.91±6.21	54.03±7.51^a	35.75±10.32	54.23±4.62^a	34.27±7.32	52.95±5.17^a	35.04±7.02	55.32±10.32^a
对照组	36	35.40±4.62	38.16±5.95^a	36.26±9.21	39.15±10.23^a	35.03±5.65	38.45±9.54^a	34.82±9.52	42.16±9.52^a
t值		0.380	9.938	0.221	8.061	0.493	8.012	0.112	5.900
P值		0.705	< 0.001	0.826	< 0.001	0.623	< 0.001	0.911	< 0.001
注：与干预前比较，^aP＜0.05。

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表 3 2组ADHD患儿干预前后Conners父母问卷、SNAP-4评分比较(x±s, 分)

组别	例数	Conners父母问卷		SNAP-4评分
组别	例数	干预前	干预后	干预前	干预后
观察组	36	62.23±0.21	32.01±0.15^a	67.22±3.72	56.21±3.21^a
对照组	36	62.19±0.23	41.65±0.16^a	68.02±3.21	62.03±3.09^a
t值		0.771	72.224	0.977	7.838
P值		0.444	< 0.001	0.332	< 0.001
注：与干预前比较，^aP＜0.05。

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表 4 2组ADHD患儿干预前后C-WISC量表分值比较(x±s, 分)

组别	例数	操作量表智商		言语量表智商		全量表智商
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后
观察组	36	93.74±9.52	106.92±5.62^a	95.21±5.62	105.62±6.85^a	96.20±5.62	110.20±3.21^a
对照组	36	94.02±7.62	100.02±5.03^a	94.02±6.21	98.62±6.03^a	94.85±7.06	100.14±3.07^a
t值		0.138	5.489	0.852	4.602	0.898	13.589
P值		0.891	< 0.001	0.397	< 0.001	0.372	< 0.001
注：与干预前比较，^aP＜0.05。

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参考文献(20)

[1]	张丁香. 智力缺陷患儿辅以感觉统合功能训练的效果[J]. 中国药物与临床, 2018, 18(10): 1864-1865. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC201810112.htm
[2]	傅婵容, 吕兰秋, 任盈盈, 等. 感觉统合训练联合心理行为干预对注意缺陷多动障碍患儿的疗效[J]. 中华全科医学, 2018, 16(11): 1931-1933. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201811047.htm
[3]	冯璐, 郝乔, 李姝欣, 等. 中药治疗配合感觉统合训练治疗儿童多动症的有效性[J]. 辽宁中医杂志, 2018, 45(8): 1639-1641. https://www.cnki.com.cn/Article/CJFDTOTAL-LNZY201808028.htm
[4]	王燕红. 感觉统合功能训练可有效治疗儿童注意缺陷多动障碍[J]. 基因组学与应用生物学, 2018, 37(1): 199-204. https://www.cnki.com.cn/Article/CJFDTOTAL-GXNB201801043.htm
[5]	鲍春, 潘红果, 魏萌. 非药物方法联合治疗儿童注意缺陷多动障碍76例临床研究[J]. 北京医学, 2018, 40(11): 1040-1043. https://www.cnki.com.cn/Article/CJFDTOTAL-BJYX201811009.htm
[6]	高霞, 石元洪, 童萍, 等. 结构式心理行为干预对ADHD学龄儿注意力和多动行为的影响[J]. 齐鲁护理杂志, 2018, 24(9): 18-20. doi: 10.3969/j.issn.1006-7256.2018.09.006
[7]	高霞, 石元洪, 童萍, 等. 注意缺陷多动障碍学龄前儿童应用整合心理行为干预研究[J]. 实用临床医药杂志, 2018, 22(10): 75-79. doi: 10.7619/jcmp.201810022
[8]	TANG Y, JING X Y, WANG Y P, et al. Changes of HPA axis function in rats with attention deficit hyperactivity disorder[J]. 海南医科大学学报(英文版), 2019, 25(11): 14-17.
[9]	张艳玲, 阴悦, 李若晗, 等. Ⅴ型跷跷板训练对学龄期注意缺陷多动障碍儿童的影响[J]. 河北医药, 2020, 42(4): 573-576. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYZ202004022.htm
[10]	张婕, 赵小艳, 王丽芳, 等. 综合性心理治疗对儿童注意缺陷多动障碍的改善作用[J]. 中国妇幼保健, 2017, 32(19): 4702-4704. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201719036.htm
[11]	张靖, 谭丽金, 黄美貌, 等. 感觉统合训练结合口部运动治疗儿童构音障碍的疗效观察[J]. 解放军预防医学杂志, 2019, 37(10): 145-146. https://www.cnki.com.cn/Article/CJFDTOTAL-JYYX201910077.htm
[12]	王臣, 沈华仙, 易颖. 核心肌群训练结合感觉统合训练在痉挛型脑瘫患儿粗大运动功能康复的应用价值研究[J]. 中国药物与临床, 2020, 20(2): 260-262. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC202002044.htm
[13]	赵雅风, 宁秀琴, 张君平, 等. 多媒体感觉统合训练配合言语训练对伴智力低下孤独症谱系障碍儿童智力发育和事件相关电位的影响[J]. 安徽医药, 2019, 23(7): 1419-1422. doi: 10.3969/j.issn.1009-6469.2019.07.038
[14]	单亚. 束带强化核心稳定性训练结合感觉统合训练对痉挛型脑性瘫痪患儿体位控制的影响[J]. 卒中与神经疾病, 2018, 25(6): 685-688. doi: 10.3969/j.issn.1007-0478.2018.06.014
[15]	程大志, 王昕, 杨健. 再谈儿童注意缺陷多动障碍的认知功能障碍及其干预[J]. 北京医学, 2019, 41(11): 967-969. https://www.cnki.com.cn/Article/CJFDTOTAL-BJYX201911001.htm
[16]	李爱文, 曾婷, 李红辉. 应用整合心理行为干预学龄前儿童注意缺陷多动障碍的效果分析[J]. 山西医药杂志, 2019, 48(17): 2134-2136. doi: 10.3969/j.issn.0253-9926.2019.17.018
[17]	杜亚松, 曹阳, 江文庆. 注意缺陷多动障碍儿童的执行功能[J]. 中国儿童保健杂志, 2019, 27(5): 465-468, 472. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201905001.htm
[18]	NADIA D, GHOLAMREZA N, AIDA G, et al. Effect of vitamin D treatment in children with attention-deficit hyperactivity disorder[J]. World J Pediatr, 2019, 15(1): 78-84. doi: 10.1007/s12519-018-0209-8
[19]	HOU Y W, XIONG P, GU X, et al. Association of serotonin receptors with attention deficit hyperactivity disorder: A systematic review and meta-analysis[J]. 华中科技大学学报(医学英德文版), 2018, 38(3): 538-551.
[20]	潘学霞, 张颖, 张凯峰, 等. ADHD儿童视觉-运动整合能力及感觉统合功能分析[J]. 中国妇幼保健, 2020, 35(2): 268-270. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB202002024.htm