摘要目的 调查共患遗尿症的5~6岁学龄前注意缺陷多动障碍( attention deficithyperactivi-ty disorder,ADHD)儿童的行为学特点.方法 采用Conner’s父母问卷和数字划消测验对42例学龄前ADHD儿童(ADHD组)、36例学龄前ADHD+遗尿症(ADHD+NE组)儿童和48例正常对照组儿童进行评估.结果 在Conners父母问卷中,ADHD 组、ADHD+NE 组在品行问题[(0. 79± 0. 13)分, (0. 83±0. 50)分]、学习问题[(1. 55±0. 49)分,(1. 92±0. 62)分]、心身问题[(0. 61±0. 35)分,(0. 67± 0. 22)分]、冲动多动[(1. 96±0. 48)分,(2. 21±0. 69)分]、焦虑[(0. 76±0. 53)分,(1. 02±0. 58)分]、多动指数[(1. 57±0. 14)分,(2. 19±0. 33)分]方面得分均高于对照组[(0. 59± 0. 39)分,(0. 64± 0. 28)分,(0. 35±0. 74)分,(0. 82±0. 63)分,(0. 51±0. 40)分,(0. 86±0. 59)分(均P<0. 05)];ADHD+NE组在学习问题、冲动多动、焦虑、多动指数得分高于ADHD组,差异均具有统计学意义(均P<0. 05).在数字划消测验中,ADHD组、ADHD+NE组粗分[(52. 37±1. 48)分,(57. 42±1. 05)分]、净分[(39. 15± 8. 84)分,(38. 99±5. 72)分]低于对照组[(89. 40±7. 82)分,(80. 16±12. 54)分] (均P<0. 05);ADHD组、ADHD+NE组失误分[(38. 16±9. 60)分,(40. 59±9. 28)分]、失误率(0. 40±0. 27,0. 59±0. 44)高于对照组[(14. 01±5. 32)分,(0. 15±0. 08)](均P<0. 05);ADHD+NE组失误率高于ADHD组,均差异有统计学意义(均P<0. 05).结论 5~6岁学龄前ADHD共患遗尿儿童行为问题较为严重,焦虑情绪更为明显,需要引起重视.

abstractsObjective To investigate the behavioral characteristics of preschool children aged 5-6 years with attention deficit hyperactivity disorder ( ADHD) comorbid with enuresis. Methods Conner’s Parent Symptom Questionnaire and Digital Cancellation Test were used to investigate 42 children with ADHD (ADHD group),36 children with ADHD comorbid with enuresis ( ADHD+NE group) and 48 normal con-trols. Results In the Conner’s Parent Symptom Questionnaire,the score of the conduct factors ((0. 79± 0. 13),(0. 83± 0. 50)), learning factors (( 1. 55 ± 0. 49),(1. 92± 0. 62)),mind-body factors (( 0. 61 ± 0. 35),(0. 67± 0. 22)),hyperactivity impulse factors ((1. 96 ± 0. 48),(2. 21± 0. 69)), anxiety factors ((0. 76±0. 53),(1. 02±0. 58)) and hyperactivity indices ((1. 57±0. 14),(2. 19±0. 33)) in ADHD group and ADHD+NE group were higher than those of the control group((0. 59±0. 39),(0. 64±0. 28),(0. 35± 0. 74),(0. 82±0. 63),(0. 51±0. 40),(0. 86±0. 59),(all P<0. 05)). The scores of learning factors,hy-peractivity impulse factors,anxiety factors and hyperactivity indices in ADHD+NE group were higher than those in ADHD group(P<0. 05). In the digital cancellation test,the gross scores((52. 37±1. 48),(57. 42± 1. 05))and net scores ((39. 15±8. 84),(38. 99±5. 72)) of ADHD group and ADHD+NE group were lower than those in the control group (( 89. 40 ± 7. 82), ( 80. 16 ± 12. 54)) (均 P<0. 05). The error scores ((38. 16±9. 60),(40. 59±9. 28)) and error rate(0. 40±0. 27,0. 59±0. 44) of ADHD group and ADHD+NE group were higher than those of the control group ((14. 01±5. 32),(0. 15±0. 08))(all P<0. 05). The error rate of ADHD + NE group were higher than those of preschool ADHD group (P< 0. 05 ). Conclusion The behavioral problems of preschool children aged 5-6 years with ADHD comorbid with enu-resis are more serious and anxiety is more obvious,which should be paid attention to.