神经疗法治疗注意缺陷多动障碍。

J K Nash
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引用次数: 80

摘要

我们目前在治疗多动症方面的成功程度存在着重大的公共卫生问题。药物管理对60-70%的患者非常有帮助。副作用,缺乏依从性和兴奋剂药物不能在一天的晚些时候给予的事实限制了主要在学校时间的好处。虽然兴奋剂可以改善行为和注意力,但对学业和社交表现的影响较小。对长期安全性的担忧持续存在,对长期心血管和神经生理影响的研究尚未开展。神经疗法为那些治疗受到副作用限制、药物反应差以及患者和/或其父母拒绝考虑药物治疗的患者提供了一种有效的替代方法。研究表明,临床改善在很大程度上与脑电图特征的可测量改善有关,这可以通过额叶/中央皮层的θ / β比值下降和/或θ / α波段幅度降低来证明。
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Treatment of attention deficit hyperactivity disorder with neurotherapy.

Significant public health concerns exist regarding our current level of success in treating ADHD. Medication management is very helpful in 60-70% of patients. Side effects, lack of compliance and the fact that stimulant medications cannot be given late in the day limit the benefits largely to school hours. While stimulants improve behavior and attention, less of an effect has been noted on academic and social performance. Continuing concerns exist about long-term safety, and studies on long-term cardiovascular and neurophysiological effects have not been carried out. Neurotherapy for ADHD offers an effective alternate for patients whose treatment is limited by side effects, poor medication response and in cases in which the patients and/or their parents refuse to consider medications. Studies indicate clinical improvement is largely related to measurable improvements in the EEG signature, evidenced by declining theta/beta ratios over frontal/central cortex and/or reduced theta/alpha band amplitudes.

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