在注意力缺陷/多动障碍的新和补充治疗方法
Andrew Caterfino1,2, Shruthi Krishna1,2, Victoria Chen1,2
1Northwell, New Hyde Park.
Current opinion in pediatrics
|July 3, 2024
概括
对注意力缺陷/多动障碍 (ADHD) 的补充治疗显示出一些希望,但缺乏作为独立选择的强有力的证据. 辅助疗法可能是安全的,但医生必须指导家庭在新出现的选择.
科学领域:
- 儿科神经学 儿科神经学
- 儿童精神病学 儿童精神病学
- 综合医学是一个整体的医学.
背景情况:
- 注意缺陷/多动障碍 (ADHD) 是儿童和青少年中普遍存在的一种神经发育障碍.
- 标准治疗包括药物治疗和社会心理干预.
- 对于ADHD管理的新和补充疗法越来越感兴趣.
研究的目的:
- 审查儿科ADHD的新兴和补充治疗方式.
- 评估这些新方法的当前证据基础.
- 为临床实践提供有关ADHD补充疗法的信息.
主要方法:
- 对补充性多动症治疗的最新文献进行系统审查.
- 对研究严格性,有效性和安全性数据的分析.
- 综合各种干预措施的发现,包括营养,行为和神经调节方法.
主要成果:
- 许多辅助性ADHD治疗方法的证据有限,通常来自小型,无盲目的研究.
- 较大,严格的研究表明,大多数补充选择的效果适度.
- 欧米茄-3脂肪酸,沙夫兰,微量营养素和运动显示出潜在的益处与可接受的风险.
- 神经反,认知训练和神经刺激需要进一步研究特定的ADHD亚组.
结论:
- 补充治疗不建议作为第一线多动症治疗的替代品.
- 某些辅助疗法可以安全地与标准ADHD治疗相结合.
- 医疗保健提供者需要了解补充选择,以有效指导家庭.
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