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七岁儿童的感知、运动和注意力缺陷。儿科学方面。

Perceptual, motor and attentional deficits in seven-year-old children. Paediatric aspects.

作者信息

Rasmussen P, Gillberg C

出版信息

Acta Paediatr Scand. 1983 Jan;72(1):125-30. doi: 10.1111/j.1651-2227.1983.tb09676.x.

Abstract

42 children representative of Swedish urban seven-year-olds with a combination of various minor neurodevelopmental deficits in the form of so-called minimal brain dysfunction (MBD) syndromes were compared with 51 children of the same age without such problems as regards general health data from parents' interviews and questionnaires and from paediatric examinations. The findings at the physical examination revealed only few and small differences concerning minor physical anomalies that, in part, is dealt with in a separate report. Children with MBD had experienced simple febrile convulsions significantly more often than controls, and an abnormal EEG was a common finding in these cases. So-called psychosomatic complaints were not overrepresented in the MBD group, but enuresis and encopresis was somewhat more common. The parents' answers to a set of 6 questions (concerned with late speech development, late motor development, gross motor clumsiness, fine motor clumsiness, "shuffling" and difficulties to concentrate) were found to have a high discriminating capacity detecting for MBD syndromes. The possibility of a clinical application of this finding is discussed.

摘要

选取42名具有所谓轻微脑功能障碍(MBD)综合征形式的各种轻微神经发育缺陷的瑞典城市七岁儿童作为代表,将他们与51名同龄且无此类问题的儿童进行比较,比较内容包括来自父母访谈和问卷以及儿科检查的一般健康数据。体格检查结果显示,在轻微身体异常方面只有很少且细微的差异,部分内容在另一篇单独报告中论述。患有MBD的儿童经历单纯性热性惊厥的频率明显高于对照组,而且脑电图异常在这些病例中很常见。所谓的心身问题在MBD组中并未过度出现,但遗尿症和遗粪症在一定程度上更为常见。发现父母对一组6个问题(涉及语言发育迟缓、运动发育迟缓、大运动笨拙、精细运动笨拙、“拖步”和注意力不集中)的回答在检测MBD综合征方面具有很高的辨别能力。文中讨论了这一发现临床应用的可能性。

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