ADHD和抽动障碍共病儿童的智力结构分析.doc

ADHD和抽动障碍共病儿童的智力结构分析.docADHD和抽动障碍共病儿童的智力结构分析
作者：匡桂芳吴爱勤周长虹
【摘要】 目的探讨注意缺陷多动障碍(ADHD)和抽动障碍(TD)共病病儿的
智力结构特征。方法采用韦氏儿童智力量表(C W1SC)对ADHD伴TD共病组、 单纯ADHD组及正常儿童(对照组)各100例进行智力测验，分别计算各分测验 的量表分、言语智商(VIQ)、操作智商(PIQ)和总智商(FIQ),进行对比分析。结 果ADHD伴TD共病组病儿C WISC言语量表中的知识、算术、词汇、理解分测 验以及操作量表中的填图、积木分测验及VIQ、PIQ、FIQ均显著低于正常对照 组(F= 〜1 851. 04, q=4. 38 10. 76, P ( 0. 01) « 单纯 ADHD 组言语量表中的
知识、词汇、理解分测验及操作量表中的填图、积木分测验及HQ、PICK FIQ 均显著低于正常对照组(F= 〜1 851. 04 , q=3. 32~77. 78 , P<0. 01) . ADHD 伴TD共病组所有分测验得分均低于单纯ADHD组，其中言语量表中的分类、算 术、理解分测验以及VIQ、FIQ两组比较有显著性差异(F=〜1
851. 4, q=3. 27—70. 76, P (0. 05)« 结论 ADHD 伴 TD
共 病 、单 纯 ADHD 病 儿 均 存
在智力发育落后及智力结构发展不平衡的状况，ADHD伴TD共病组病儿脑损伤 更为严重，应引起重视。
【关键词】抽搐性运动障碍注意缺陷多动障碍韦氏智力量表儿童
[ABSTRACT] Objective To assess the intelligence structure features of children with comorbid attention deficit disorder with hyperactivity (ADHD) and tic disorder (TD). Methods Children with comorbid ADHD and TD, with ADHD only and normal children, 100 in each group, were evaluated with modified Wechsler Intelligence Scale for Children (C W[SC). ResultsCh订dron with ADHD+TD had significantly lower scores of information, arithmetic, vocabulary and comprehension in verbal subtests and picture completion, block design in performable subtests than those in normal group
（F=5. 48-1
851. 04, q=4. 38-10. 76, P<0. 01）. Ch订dren with ADHD had sign辻icantly
lower scores of information, vocabulary, comprehension, picture
complet