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盐酸托莫西汀联合心理-行为矫正疗法治疗儿童多动症中期随访分析PDF下载[PDF]

作者:孙振涛、丁亚媛、刘华强

单位:471000,河南·洛阳 孟津康宁医院、024200,内蒙古·赤峰 宁城县蒙医中医医院

关键词:儿童多动症、盐酸托莫西汀胶囊、心理-行为矫正疗法、Conners父母问卷、Swanson儿童行为量表

分类号:R749.92、R749.94

出版年,卷(期),页码:2019,25 (1):80-83

摘要:

探讨盐酸托莫西汀联合心理-行为矫正疗法治疗儿童多动症的临床应用价值.方法 将88例儿童多动症患者按照随机数字表法分为观察组与对照组,每组44例.两组均给予单纯盐酸托莫西汀胶囊治疗,观察组联合心理-行为矫正疗法治疗,观察6个月.比较两组临床疗效、治疗前后Conners父母问卷评分及Swanson儿童行为量表第4版评分.随访6个月,比较两组治愈病例复发率.结果 观察组总有效率显著高于对照组(P<0 .05).治疗后两组Conners父母问卷及Swanson儿童行为量表评分均较治疗前显著降低(P<0 .01) ,观察组较对照组下降更显著(P<0 .01) .观察组复发率低于对照组,但差异无统计学意义(P>0 .05) .结论 盐酸托莫西汀联合心理-行为矫正疗法治疗儿童多动症效果显著,可有效改善患儿注意缺陷、活动较多、学习困难等临床症状,在一定程度上降低复发率.、Objective To explore the clinical application value of atomoxetine hydrochloride combined with psycho-behavioral modification therapy in the treatment of children with ADHD.Methods 88 children with ADHD were divided into observation group and control group according to random number table ,44 cases in each group.Both groups were treated with simple tomoxetine hydrochloride capsules ,and the ob-servation group was treated with psycho-behavioral modification therapy for 6 months.The clinical effica-cy ,the Conners Parent Symptoms Questionnaire score ,the 4th edition Swanson Child Behavior Scale score of the two groups before and after treatment were compared.After 6-month follow-up ,the recurrence rate of the cured cases was compared between the two groups.Results The total effective rate of the observa-tion group was significantly higher than that of the control group (P<0.05).After treatment ,the Con-ners Parent Symptoms Questionnaire score and Swanson Child Behavior Scale score of the two groups were significantly lower than those before treatment (P<0.01) ,the observation group decreased more signifi-cantly than the control group (P<0.01).The recurrence rate of the observation group was lower than that of the control group ,but the difference was not statistically significant (P>0.05).Conclusion The clinical efficacy of Atomoxetine Hydrochloride Capsules combined with psycho-behavioral modification therapy in the treatment of children with ADHD is significant.It can effectively improve the clinical symp-toms such as attention deficit ,activity and learning difficulties ,and reduce the recurrence rate to some ex-tent.

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