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1、注意缺陷多動(dòng)障礙兒童眼動(dòng)抑制缺陷對(duì)照探究【摘要】目的:探討注意缺陷多動(dòng)障礙(AttentionDeficitHyperactivityDisorder,ADHD)兒童在抑制性眼動(dòng)任務(wù)中的反應(yīng)特征。方法:采用注視、主動(dòng)眼動(dòng)及反向眼動(dòng)任務(wù)對(duì)21例ADHD兒童和21例正常對(duì)照兒童進(jìn)行評(píng)估。結(jié)果:(1)注視任務(wù)中,ADHD組侵入性眼跳數(shù)目高于對(duì)照組[無(wú)分心條件:(12.67±12.28)vs.(6.38±6.95),P=0.040;分心條件:(16.91±10,00)vs.(11.29±5.99),P-0.030];(2)主動(dòng)眼動(dòng)任務(wù)中,兩組兒童眼跳參數(shù)差異無(wú)統(tǒng)計(jì)學(xué)意義;(3)反向眼動(dòng)任務(wù)中,A
2、DHD組眼跳方向錯(cuò)誤率高于對(duì)照組[間隔條件:(68.14±17.85)%vs.(54.10±20.22)%,P=0.020;重疊條件:(62.49±17.54)%vs.(49.27±17.21)%,P=0.020]。結(jié)論:注意缺陷多動(dòng)障礙兒童眼動(dòng)抑制能力存在缺陷,推測(cè)可能是由于注意缺陷多動(dòng)障礙兒童具有異常的額葉-紋狀體結(jié)構(gòu)和/或功能所致。【關(guān)鍵詞】注意缺陷多動(dòng)障礙;眼動(dòng)任務(wù);抑制;眼跳;病例對(duì)照研究中圖分類號(hào):R749.94文獻(xiàn)標(biāo)識(shí)碼:A文章編號(hào):1000-6729(2010)001-0038-05doi:10.3969/j.issn.1000-6729.2010.01.009Inhib
3、itorydeficitsofoculomotorbehaviorinchildrenwithattentiondeficithyperactivitydisorderCHENQiangl,2,JINGJinl,YANGWen-Han?1^lDepartmentofMaternalandChildHeaIth,SchoolofPublicHeaIth,SunYat-senUniversity,Guangzhou510080,China^2DepartmentofChildPsychologicalBehavior,ZhuhaiMaternalandChildHealth"sHospita
4、l,Zhuhai519000,GuangdongProvince,ChinaCorrespondingauthor:JINGJin,E-mail:jingjin@mai1.sysu.省略【Abstract】Objective:Toexaminethecharacteristicsofoculomotorinhibitionaboutchildrenwithattentiondeficithyperactivitydisorder(ADHD).Methods:Twenty-onechildrenwithADHDaccordingtotheDiagnosticandStatisticalMa
5、nualofMentalDisorder,4thedition(DSMTV)and21matchedcontrolswereadministeredwithfixation,prosaccadeandantisaccadetasks?ResuIts:(1)Inthefixationtask,thechildrenwithADHDdemonstratedsignificantlymoreintrusivesaccadeerrorsthanthecontrolsineitherconditionwithdistractorsorwithoutdistractors[nodistractors
6、:(12.67±12.28)vs.(6.38±6.95),P二0.040;distractors:(16.91±10.00)vs.(11.29±5.99),P=0.030]?(2)Intheprosaccadetask,therewerenosignificantdifferencesfoundbetweengroupsinsaccadicparameters,ineithergapconditionoroverlapcondition.(3)Inantisaccadetask,thedirectionerrorratesoftheADHDgroupineithergapconditio
7、noroverlapcondition,werebothhigherthanthatofthecontrolgroup[gap:(68.14±17.85)%vs.(54.10±20.22)%,P=0.020;overlap:(62.49±17.54)%vs.(49.27±17.21)%,P=0.020].Conclusion:Itsuggeststhatthereisanabnormalityoftheoculomotorinhib