腺切除术在患有注意力缺陷多动症儿童的长期影响
Jooyoung Lee1, Arum Choi2, Sukil Kim2
1Department of Pediatrics, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
概括
腺切除术 (AT) 对患有注意力缺陷多动症障碍 (ADHD) 的儿童没有长期益处. 这项研究没有发现手术后药物使用或医疗保健访问的显著差异.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 儿童精神病学 儿童精神病学
- 睡眠医学 睡眠医学
背景情况:
- 已知腺切除术 (AT) 可以改善儿童的短期注意力缺陷多动症 (ADHD) 症状.
- 在ADHD症状上AT的长期治疗效果仍然在很大程度上未经检查.
研究的目的:
- 在被诊断为注意力缺陷多动症障碍 (ADHD) 的儿童中研究腺切除术 (AT) 的长期治疗疗效.
主要方法:
- 一项回顾性对照研究将3,615名接受了AT的儿童与171,112名ADHD儿童的对照组进行了匹配.
- 参与者因年龄,性别和诊断日期而与1:1匹配.
- 药物使用和医疗保健利用在AT日期之前和之后进行了比较.
主要成果:
- 虽然在AT (+) 组的AT后,药物使用和门诊访问减少,但在AT (+) 和AT (-) 组之间没有显著的长期差异.
- 在AT (+) 组中,甲基胺剂量在AT后显著增加.
- 在药物管理或医疗利用方面没有观察到AT的长期治疗效果.
结论:
- 腺切除术 (AT) 对患有注意力缺陷多动症障碍 (ADHD) 的儿童没有显著的长期治疗益处.
- 该程序并没有导致药物使用或医疗保健利用模式的持续改善.
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