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【目的】观察注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童的父母养育方式及血中微量元素水平,为临床诊治提供参考依据。【方法】评定160例ADHD患儿(实验组)和160例健康儿童(对照组)的父母养育方式,测定血中微量元素水平。【结果】实验组患儿父母“情感温暖、理解”因子分显著低于对照组(P<0.05),“父亲惩罚、严厉”、“父亲拒绝、否认”、“母亲过分干涉、过度保护”、“母亲惩罚、严厉”、“母亲偏爱被试”因子分和血铅水平显著高于对照组(P<0.05)。“父亲惩罚、严厉”、“母亲惩罚、严厉”、血铅水平、“父亲拒绝、否认”是预测ADHD的重要因素。【结论】父母养育方式和患儿血铅水平是预测ADHD发病的重要因素。
【Objective】 To observe the parental rearing and blood trace element levels in children with attention deficit hyperactivity disorder (ADHD), and provide reference for clinical diagnosis and treatment. 【Method】 The method of parental rearing in 160 children with ADHD (experimental group) and 160 healthy children (control group) was assessed. The level of trace elements in blood was measured. [Results] The scores of parents in the experimental group were significantly lower than those in the control group (P <0.05), “father punishment, harshness”, “father refused, denied”, “mother” Excessive intervention, overprotection, mother punishment, harshness, mother preference test, factor score and blood lead level were significantly higher than the control group (P <0.05). “Father punishment, severe ”, “mother punishment, severe ”, blood lead level “father refuses, denied ” is an important factor in predicting ADHD. 【Conclusion】 Parental rearing and blood lead levels in children are important predictors of ADHD.