ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2021, Vol. 13 ›› Issue (3): 218-221.

• 临床研究 • 上一篇    下一篇

甘肃省裕固族学龄前期儿童注意缺陷多动障碍的患病率及智力特征分析

目的: 调查甘肃省裕固族学龄前期4～7岁儿童注意缺陷多动障碍（ADHD）儿童的患病率，并对患病儿童进行相关智力特征分析。
方法: 采用分层整群抽样方法，2017年6月抽取甘肃省肃南裕固族自治县不同区域的3所公立幼儿园所有裕固族学龄前期4～7岁儿童413人，采用Conners父母症状问卷表(PSQ)及教师问卷进行调查，对PSQ筛查阳性儿童排除其他神经或精神疾病，根据美国精神病诊断统计手册（第5版）（DSM-V）诊断标准明确诊断，并使用韦氏学前儿童智能量表(WPPSI)进行儿童智力测试并分析结果。
结果: 发放调查问卷413份，收回有效问卷411份。ADHD总患病率为2.9%（12/411），其中男童3.6%（8/225），女童2.2%（4/186），男童与女童之间相比差异无统计学意义（P>0.05）。裕固族学龄前4～7岁儿童WPPSI智力测试指数低于正常对照组，差异有统计学意义（P<0.01）；ADHD患儿中男童与女童之间WPPSI智力测试指数相比，女童操作智商指数高于男童，差异有统计学意义（P<0.05）。
结论: 甘肃省裕固族学龄前儿童ADHD患病率明显低于全国平均水平，可能与民族性格、家庭情况、生活环境有关，ADHD患儿智力水平低于正常，应早期干预治疗。   

  1. 730030兰州，兰州大学第二医院儿保科
  • 出版日期:2021-06-25 发布日期:2021-12-15
  • 通讯作者: 朱艳芳，E-mail：417628032@qq.com
  • 作者简介:朱艳芳（1971-），女，副主任医师。研究方向：儿童保健与儿童心理行为性疾病

Analysis of the prevalence and characteristics of intelligence of Yugur preschool children with ADHD in Gansu Province

Objective: To investigate the prevalence of attentiondeficit/hyperactivity disorder (ADHD) in 4-7-year-old children of Yugur nationality in Gansu Province,and analyze the related intelligence characteristics of the children.#br# Methods: Three public kindergartens in Sunan Yugur Autonomous County of Gansu Province were selected by using stratified cluster random sampling method.Totally 413 Yugur preschool children aged 4-7 years old were investigated by using the Conners (PSQ) parents′ symptom questionnaire and teachers′ questionnaire.In the children with positive PSQ other neurological and mental diseases were excluded.The DSM (Fifth Edition) was used as the diagnosis criteria,and the results of Wechsler primary and preschool intelligence scale (WPPSI) which was used to test children′s intelligence were analyzed.#br# Results: A total of 413 questionnaires were sent out and 411 valid questionnaires were collected.The total prevalence of ADHD was 2.9% (12/411),and it was 3.6%(8/225) in boys and 2.2%(4/186) in girls.There was no significant difference between boys and girls (P>0.05).The intelligence test index of WPPSI of Yugur preschool children aged 4-7 years was lower than that of normal control group(P<0.01).The operation IQ in WPPSI of girls was statistically higher than that of boys(P<0.05).#br# Conclusion: The prevalence of ADHD in Yugur preschool children in Gansu Province is significantly lower than the national average level,which may be related to national character,family situation and living environment.The intelligence level of ADHD children is lower than that of the normal,so early intervention should be carried out.   

  1. Child Health Department,Lanzhou University Second Hospital,Lanzhou 730030，China
  • Online:2021-06-25 Published:2021-12-15

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摘要： 目的: 调查甘肃省裕固族学龄前期4～7岁儿童注意缺陷多动障碍（ADHD）儿童的患病率，并对患病儿童进行相关智力特征分析。
方法: 采用分层整群抽样方法，2017年6月抽取甘肃省肃南裕固族自治县不同区域的3所公立幼儿园所有裕固族学龄前期4～7岁儿童413人，采用Conners父母症状问卷表(PSQ)及教师问卷进行调查，对PSQ筛查阳性儿童排除其他神经或精神疾病，根据美国精神病诊断统计手册（第5版）（DSM-V）诊断标准明确诊断，并使用韦氏学前儿童智能量表(WPPSI)进行儿童智力测试并分析结果。
结果: 发放调查问卷413份，收回有效问卷411份。ADHD总患病率为2.9%（12/411），其中男童3.6%（8/225），女童2.2%（4/186），男童与女童之间相比差异无统计学意义（P>0.05）。裕固族学龄前4～7岁儿童WPPSI智力测试指数低于正常对照组，差异有统计学意义（P<0.01）；ADHD患儿中男童与女童之间WPPSI智力测试指数相比，女童操作智商指数高于男童，差异有统计学意义（P<0.05）。
结论: 甘肃省裕固族学龄前儿童ADHD患病率明显低于全国平均水平，可能与民族性格、家庭情况、生活环境有关，ADHD患儿智力水平低于正常，应早期干预治疗。

关键词: 注意缺陷多动障碍, 裕固族, 学龄前儿童, 智力特征, 患病率

Abstract: Objective: To investigate the prevalence of attentiondeficit/hyperactivity disorder (ADHD) in 4-7-year-old children of Yugur nationality in Gansu Province,and analyze the related intelligence characteristics of the children.
Methods: Three public kindergartens in Sunan Yugur Autonomous County of Gansu Province were selected by using stratified cluster random sampling method.Totally 413 Yugur preschool children aged 4-7 years old were investigated by using the Conners (PSQ) parents′ symptom questionnaire and teachers′ questionnaire.In the children with positive PSQ other neurological and mental diseases were excluded.The DSM (Fifth Edition) was used as the diagnosis criteria,and the results of Wechsler primary and preschool intelligence scale (WPPSI) which was used to test children′s intelligence were analyzed.
Results: A total of 413 questionnaires were sent out and 411 valid questionnaires were collected.The total prevalence of ADHD was 2.9% (12/411),and it was 3.6%(8/225) in boys and 2.2%(4/186) in girls.There was no significant difference between boys and girls (P>0.05).The intelligence test index of WPPSI of Yugur preschool children aged 4-7 years was lower than that of normal control group(P<0.01).The operation IQ in WPPSI of girls was statistically higher than that of boys(P<0.05).
Conclusion: The prevalence of ADHD in Yugur preschool children in Gansu Province is significantly lower than the national average level,which may be related to national character,family situation and living environment.The intelligence level of ADHD children is lower than that of the normal,so early intervention should be carried out.

Key words: Attention deficit hyperactivity disorder, Yugur nationality, Preschool children, Intellectual characteristics, Prevalence