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  <title>ADHD互助社区 : 《中国精神障碍分类与诊断标准》（CCMD-3）儿童多动症的诊断标准</title>
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   <title><![CDATA[《中国精神障碍分类与诊断标准》（CCMD-3）儿童多动症的诊断标准 : ICD、CCMD和DSM是我们现在常用的三种诊断标准。它们有...]]></title>
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    <![CDATA[<strong>发表人:</strong> <a href="http://www.adhd.org.cn/forum/member_profile.asp?PF=34">Amay</a><br /><strong>标题:</strong> 302<br /><strong>发表:&nbsp;</strong> 2006/12/25  10:53am<br /><br /><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ICD</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">、</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">CCMD</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">和</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">DSM是<SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">我们现在常用的三种诊断标准。它们</SPAN></SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">有共同点，但他们在不同国家临床上的运用效果却不同。当前我国多动症研究报告中是三者并行使用，以</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">DSM</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">为主。这三种诊断标准有些共同点，如对发病年龄（</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">7</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">岁前）和鉴别诊断（排除精神发育迟缓、广泛发育障碍、情绪障碍）的要求，但它们也有较大的差异，如亚型的分类不同。有研究表明，国家或地区因文化的不同而对多动性障碍的界定有显著差异，如广州和香港对于儿童活动是否过度或是否能保持安静的评估高于英国，而在是否说话太多和是否排队有困难等方面英国评分则高于广州</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">。我国研究学者越来越重视诊断标准的跨文化研究，认真考虑到</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">ICD</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">和</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">DSM</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">在我国的信效度，对它们与我国制定的诊断标准进行比较，结果显示三种标准对精神分裂症的诊断一致性差</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">。<SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">此问题也受到国外学者的重视。<DIV></DIV><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">&nbsp;&nbsp;&nbsp; 研究表明，</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">DSM-IV</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">诊断多动性障碍的阳性率比</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">ICD-10</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">高</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">3.72%</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">。中国多动性障碍儿童的多动</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">/</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">冲动症状难以达到</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">DSM-IV</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">的标准；</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">DSM-IV</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">的标准扩大了注意障碍为主型的诊断范围</SPAN><SPAN style="FONT-SIZE: 9pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">。</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">还有研究发现，使用</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">DSM-IV</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">标准诊断多动性障碍时，难以和其他心理行为障碍鉴别，特别是和单纯的多动症相鉴别，认为可以用</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">ICD-10</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">标准和单纯的多动症相鉴别</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">，但</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">ICD-10</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">的使用比例只有</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">3.45%</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">。中国精神疾病分类方案与诊断标准第三版（</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">CCMD-3</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">）在临床上的应用研究证明，</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">CCMD-3</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">对多动性障碍的描述更符合我国习惯，比</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">DSM-IV</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">和</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">ICD-10</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">更适合我国</SPAN><SPAN style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-: EN-US; mso-fareast-: ZH-CN; mso-bidi-: AR-SA">。<P =Ms&#111;normal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 21.75pt"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-size: 10.5pt">然而，</SPAN><SPAN lang=EN-US style="mso-bidi-font-size: 10.5pt"><FONT face="Times New Roman">CCMD-3</FONT></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-size: 10.5pt">在我国的应用率很低。因此，我国应该加快诊断标准和诊断工具的修订和扩大使用范围，并进一步健全符合我国文化特点的多动性障碍诊断评估体系，使诊断更加规范化。</SPAN><SPAN lang=EN-US style="mso-bidi-font-size: 10.5pt"><?:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></SPAN></P></SPAN></SPAN></SPAN>]]>
   </description>
   <pubDate>Mon, 25 Dec 2006 10:53:55 +0000</pubDate>
   <guid isPermaLink="true">http://www.adhd.org.cn/forum/forum_posts.asp?TID=302&amp;PID=1066&amp;title=ccmd3#1066</guid>
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  <item>
   <title><![CDATA[《中国精神障碍分类与诊断标准》（CCMD-3）儿童多动症的诊断标准 : 多动障碍是发生于儿童时期（多在3岁左右），与同龄儿童相比，表...]]></title>
   <link>http://www.adhd.org.cn/forum/forum_posts.asp?TID=302&amp;PID=1008&amp;title=ccmd3#1008</link>
   <description>
    <![CDATA[<strong>发表人:</strong> <a href="http://www.adhd.org.cn/forum/member_profile.asp?PF=51">逆风飞扬</a><br /><strong>标题:</strong> 302<br /><strong>发表:&nbsp;</strong> 2006/12/12  10:11am<br /><br /><P style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.25pt; mso-char-indent-count: 2.5" ="Ms&#111;normal"><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">多动障碍是发生于儿童时期（多在</SPAN><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt">3</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">岁左右），与同龄儿童相比，表现为同时有明显注意集中困难、注意持续时间短暂，及活动过度或冲动的一组综合征。症状发生在各种场合（如家里、学校和诊室），男童明显多于女童。</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR><BR></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial"><FONT size=3>【症状标准】</FONT></SPAN><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR><FONT size=3>(1)</FONT></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">注意障碍，至少有下列</SPAN><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt">4</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">项：</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">①</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">学习时容易分心，听见任何外界声音都要去探望；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">②</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">上课很不专心听讲，常东张西望或发呆；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">③</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">做作业拖拉，边做边玩，作业又脏又乱，常少做或做错；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">④</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">不注意细节，在做作业或其他活动中常常出现粗心大意的错误；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">⑤</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">丢失或特别不爱惜东西（如常把衣服、书本等弄得很脏很乱）；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">⑥</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">难以始终遵守指令，完成家庭作业或家务劳动等；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">⑦</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">做事难于持久，常常一件事没做完，又去干别的事；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">⑧</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">与他说话时，常常心不在焉，似听非听；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">⑨</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">在日常活动中常常丢三拉四；</SPAN><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><?:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><O:P></O:P></SPAN></FONT></P><P style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.25pt; mso-char-indent-count: 2.5" ="Ms&#111;normal"><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR><FONT size=3>(2)</FONT></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">多动，至少有下列</SPAN><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt">4</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">项：</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">①</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">需要静坐的场合难于静坐或在座位上扭来扭去；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">②</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">上课时常小动作，或玩东西，或与同学讲悄悄话；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">③</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">话多，好插嘴，别人问话未完就抢着回答；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">④</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">十分喧闹，不能安静地玩耍；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">⑤</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">难以遵守集体活动的秩序和纪律，如游戏时抢着上场，不能等待；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">⑥</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">干扰他人的活动；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">⑦</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">好与小朋友打逗，易与同学发生纠纷，不受同伴欢迎；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">⑧</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">容易兴奋和冲动，有一些过火的行为；</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: 宋体">⑨</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">在不适当的场合奔跑或登高爬梯，好冒险，易出事故。</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR style="mso-special-character: line-break"><BR style="mso-special-character: line-break"><O:P></O:P></SPAN></P><P style="MARGIN: 0cm 0cm 0pt" ="Ms&#111;normal"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial"><FONT size=3>【严重标准】对社会功能（如学业成绩、人际关系等）产生不良影响。</FONT></SPAN><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR><BR></SPAN><FONT size=3><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">【病程标准】起病于</SPAN><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt">7</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">岁前（多在</SPAN><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt">3</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">岁左右），符合症状标准和严重标准至少已</SPAN><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt">6</SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial">个月。</SPAN></FONT><SPAN lang=EN-US style="FONT-FAMILY: Arial; mso-bidi-font-size: 10.5pt"><BR><BR></SPAN><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-size: 10.5pt; mso-bidi-font-family: Arial"><FONT size=3>【排除标准】排除精神发育迟滞、广泛发育障碍、情绪障碍。</FONT></SPAN><SPAN lang=EN-US style="mso-bidi-font-size: 10.5pt"><O:P></O:P></SPAN></P><span style="font-size:10px"><br /><br />编辑 逆风飞扬 - 2006/12/12  10:17am</span>]]>
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   <pubDate>Tue, 12 Dec 2006 10:11:25 +0000</pubDate>
   <guid isPermaLink="true">http://www.adhd.org.cn/forum/forum_posts.asp?TID=302&amp;PID=1008&amp;title=ccmd3#1008</guid>
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