Abstract: 【Objectives】 To compare the distribution of three clinical subtypes of attention deficit hyperactivity disorder(ADHD) between Han and Uygur and to evaluate the application of Conners scale in three clinical subtypes of ADHD. 【Methods】 The data of ADHD Children from 2008 to 2010 of the section of children's health care in Urumqi First People Hospital were analyzed and the distribution of three clinical subtypes of ADHD,PSQ was employed to assess children's behavior in three clinical subtypes of ADHD and control,the total scores and factor scores were compared among the four groups. 【Results】 1)There were 1 164 ADHD children including 1 114 Han and 50 Uygur.2)The distribution of three clinical subtypes of ADHD was different between Han and Uygur,the most subtype was ADHD-HI at preschool,the one ADHD-C at primary school among Han and Uygur and the most subtype was ADHD-I at high school in Han.The factor scores (except anxiety and psychosomatic problem in Uygur and psychosomatic problem in Han) were found to be significantly higher in the three clinical subtypes compared to controls.However,no reliable difference was found in the factor scores between the ADHD-I and controls in Uygur. 【Conclusions】 The distribution of three clinical subtypes of ADHD between Han and Uygur and Conners scale may help to differentiate clinical case of ADHD from normal controls in aspects of conduct disorder,learning problem,impulsive-hyperactive behavior,as well as in terms of hyperactive index.On the other hand,the scale has limited value in differentiating clinical subtypes of ADHD.

Key words: Conners Parent Symptom Questionnaire, ADHD subtypes, nationality

摘要： 【目的】 比较新疆维汉注意缺陷多动障碍儿童各亚型分布情况及Conners父母量表六个因子得分差别。 【方法】 收集乌鲁木齐市儿童医院2008年9月-2010年确诊的3~17岁ADHD儿童,分析维汉ADHD各亚型分布情况;然后按1/6比例随机抽取符合入组标准的三型ADHD汉族儿童,与维族所有各型ADHD儿童组成ADHD组,选取同期3~17岁非ADHD儿童作为对照组,比较维汉ADHD儿童与对照组Conners父母量表各因子分。 【结果】 1)符合入组标准的ADHD儿童共1 164人,汉族1 114人,维族50人,其中注意缺陷型485人,多动冲动型127人,混合型552人。2)维汉ADHD儿童各亚型分布不同,差异有统计学意义(P<0.05),其中,汉族儿童以注意缺陷和混合型为主,维族儿童以混合型为主;汉、维儿童学龄前均以冲动多动型为主,小学阶段以混合型为主,其次为注意缺陷型;汉族儿童中学阶段以注意缺陷型为主,维族儿童各型未见差别;冲动多动型多以年龄段比较小的小学和学龄前为主。汉族ADHA三个亚型在PSQ品行、学习问题、焦虑、多动指数和冲动-多动因子等5个因子上均高于对照组(P<0.05);维族ADHA三个亚型中仅冲动型和混合型在品行问题、学习问题、冲动-多动及多动指数高于对照(P<0.05),在焦虑和身心障碍因子上无差异(P>0.05)。 【结论】 新疆维汉ADHD儿童亚型分布和相应的行为问题不同,应进一步探讨影响因素以进行有针对性的预防和治疗。

关键词: Conners父母问卷, 注意缺陷多动障碍亚型, 民族