SNAP—Ⅳ评定量表在教师中的应用(1)
摘 要：目的 探讨儿童注意缺陷多动障碍诊断中，SNAP-Ⅳ量表在家长和教师中的运用比较，为ADHD的诊断提供更好的方法。方法 收集2017年1月～12月在我科多动症门诊根确诊ADHD的儿童248例，男孩210例，女孩38例，对SNAP-Ⅳ量表中家长和教师的注意缺陷、多动冲动阳性条目数进行比较，同时对不同性别的阳性条目数进行比较。结果 教师量表中注意缺陷阳性条目数为(6.54±2.04)，高于家长量表的(5.98±2.13)，差异具有统计学意义(P<0.05)。教师量表中多动冲动阳性条目数为(4.56±2.82)，与家长量表的(4.74±2.59)比较，差异无统计学意义(P>0.05)。在不同性别比较中，男孩教师量表的注意缺陷阳性条目数高于家长(P<0.01)，多动冲动阳性条目数比较，差异无统计学意义(P>0.05)；而女孩教师量表注意缺陷阳性条目数与家长量表比较，差异无统计学意义(P>0.05)，多动冲动阳性条目数高于家长量表(P<0.01)。结论 无论是家长还是教师均存在主观不利因素，临床医师在诊断過程中不能单纯根据SNAP-Ⅳ问卷中条目得分做出结论，应向家长(主要带养人)认真询问病史，仔细观察孩子的外部特征及就诊过程中的表现，同时结合体格检查、血液、脑电图检查以及注意力测试等客观检查方法来做出正确诊断。如果最后结论与家长方面仍然存在较大偏差，应考虑孩子是否存在其他方面的行为问题，进一步找出深层次的原因，给出正确的指导。
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关键词：儿童注意缺陷多动障碍；儿童；SNAP-Ⅳ评估量表
中图分类号：R749.94； 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.23.032
文章编号：1006-1959(2018)23-0117-03
Abstract：Objective To investigate the use of SNAP-IV in parents and teachers in the diagnosis of attention deficit hyperactivity disorder in children， and to provide a better method for the diagnosis of ADHD. Methods A total of 248 children， including 210 boys and 38 girls， who were diagnosed with ADHD in our department from January to December 2017 were enrolled. The number of attention deficits and hyperactive impulses in parents and teachers on the SNAP-IV scale were collected. Compare the number of positive entries for different genders. Results The number of positive defects in the teacher scale was (6.54±2.04)， which was higher than that of the parental scale (5.98±2.13)， and the difference was statistically significant (P<0.05). The number of hyperactive impulse positive items in the teacher scale was (4.56±2.82)， which was not statistically significant (P>0.05) compared with the parental scale (4.74±2.59). In the comparison of different genders， the number of attention deficit-positive items in the boy teacher scale was higher than that in the parents (P<0.01)， and the number of hyperactive impulse positive items was not statistically significant (P>0.05)； while the girl teacher scale noticed The number of defective positive items was not significantly different from the parental scale (P>0.05)， and the number of hyperactive impulse positive items was higher than the parental scale (P<0.01). Conclusion Both parents and teachers have subjective disadvantages. Clinicians cannot make conclusions based solely on the scores of the entries in the SNAP-IV questionnaire during the diagnosis process. Parents (primary adopters) should be carefully asked about the medical history and carefully observe the external characteristics of the children. And the performance during the visit， combined with physical examination， blood， EEG and attention test to make a correct diagnosis. If the final conclusion still has a large deviation from the parent， it should consider whether the child has other behavioral problems， further find out the deeper reasons， and give correct guidance., 百拇医药(宋玉)
, http://www.100md.com
关键词：儿童注意缺陷多动障碍；儿童；SNAP-Ⅳ评估量表
中图分类号：R749.94； 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.23.032
文章编号：1006-1959(2018)23-0117-03
Abstract：Objective To investigate the use of SNAP-IV in parents and teachers in the diagnosis of attention deficit hyperactivity disorder in children， and to provide a better method for the diagnosis of ADHD. Methods A total of 248 children， including 210 boys and 38 girls， who were diagnosed with ADHD in our department from January to December 2017 were enrolled. The number of attention deficits and hyperactive impulses in parents and teachers on the SNAP-IV scale were collected. Compare the number of positive entries for different genders. Results The number of positive defects in the teacher scale was (6.54±2.04)， which was higher than that of the parental scale (5.98±2.13)， and the difference was statistically significant (P<0.05). The number of hyperactive impulse positive items in the teacher scale was (4.56±2.82)， which was not statistically significant (P>0.05) compared with the parental scale (4.74±2.59). In the comparison of different genders， the number of attention deficit-positive items in the boy teacher scale was higher than that in the parents (P<0.01)， and the number of hyperactive impulse positive items was not statistically significant (P>0.05)； while the girl teacher scale noticed The number of defective positive items was not significantly different from the parental scale (P>0.05)， and the number of hyperactive impulse positive items was higher than the parental scale (P<0.01). Conclusion Both parents and teachers have subjective disadvantages. Clinicians cannot make conclusions based solely on the scores of the entries in the SNAP-IV questionnaire during the diagnosis process. Parents (primary adopters) should be carefully asked about the medical history and carefully observe the external characteristics of the children. And the performance during the visit， combined with physical examination， blood， EEG and attention test to make a correct diagnosis. If the final conclusion still has a large deviation from the parent， it should consider whether the child has other behavioral problems， further find out the deeper reasons， and give correct guidance., 百拇医药(宋玉)