[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fHSpoqKxbO-MO7H7ii6LNU-YEEoLMTPuijUg5_riPuI0":8,"$fTLFUJGD0dnn821W-AsN2OpxggoCONSvvVJUDTLGgg9U":15,"$fE8L1MQCm3KSB1w9q-RIb_bB_ma9nhyJzs3htkuMzmXo":64,"$ffCPZ4e2UyiWBHCQ4ezla3mGMhMbHUOjgPRBhg87t8-c":68},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":14},200,"操作成功",{"authors":12,"appraiseDimensionScoresVos":13},[],[],true,{"code":9,"msg":10,"message":6,"data":16,"success":14},{"id":17,"specialistId":18,"specialistAssistants":19,"profilePhoto":20,"specialistName":21,"roleType":22,"adept":23,"hospital":24,"department":6,"postsTitle":25,"materialTotal":26,"videoTotal":27,"isConcern":7,"title":28,"coverVertical":29,"coverAcross":30,"directionMarker":31,"description":32,"vid":33,"time":34,"mediaType":35,"views":36,"likes":22,"isThumbsUp":7,"isCollection":7,"collections":22,"createTime":37,"seoTitle":28,"seoKeywords":38,"seoDescription":39,"shelvesTime":40,"menus":41,"menuId":43,"type":31,"quality":61,"commentCount":22,"isComment":35,"deviceType":62,"url":63},26361,953896,[],"https://ystcdn.venuertc.com/venue/app/47358/2026-06-14/09494873-c8ca-443b-8a62-c6cc6dc27049.png","齐晓丽",0,"擅长儿童多动症，抽动障碍，生长发育矮小以及儿科常见疾病的诊断与治疗","济宁市第一人民医院","副主任医师",11,5,"注意缺陷多动障碍如何科学管理？7岁男孩的真实干预经历","https://cdn.yishi-tong.com/console/3/iIkKHTP3kscxEctnM8UZ4OYd1oktMcPp.png","https://cdn.yishi-tong.com/console/3/3pK8DIufachhtkGLmMWUxspab-ck3tvR.png",2,"\u003Cdiv id=\"material_title\">注意缺陷多动障碍如何科学管理？7岁男孩的真实干预经历\u003C/div>\n\n\u003Cdiv class=\"xuli_card xuli_block\" style=\"background:linear-gradient(90deg,#ffe7e0 0,#fff 100%);border-radius:18px;padding:24px 20px 18px 20px;margin:30px 0 16px 0;\">\n大家好，我是济宁市第一人民医院儿保科的齐晓丽。很多家长一听说孩子“好动”，会觉得是不是管教不严，或者以为长大了自然会好。其实，有些孩子背后的原因并不简单。今天就想跟大家聊聊门诊里经常遇到的注意缺陷多动障碍，也就是大家常说的“多动症”。\u003C/div>\n\n\u003Cdiv class=\"xuli_card xuli_block\" style=\"background:linear-gradient(90deg,#e4f4fd 0,#fff 100%);border-radius:18px;padding:24px 20px 18px 20px;margin-bottom:16px;\">\n前段时间，门诊来了位7岁的男孩，身体健康。近半年课上坐不住，做小动作，注意力难以集中，和同学相处也有障碍，经常被老师点名。父母尝试奖励和惩罚，效果不佳。孩子饮食睡眠正常，无遗尿、抽动、焦虑或抑郁，既往健康。为排除孤独症、抽动障碍等，安排了瑞文智力测验、SNAP-IV问卷、功能量表等。智力测试二级，SNAP-IV异常，生活功能受影响，注意力测验失误率5%。综合评估，诊断为注意缺陷和多动障碍（ADHD）。制定行为干预和药物治疗方案，强化良好行为，纠正不良行为，配合托莫西汀口服液调整剂量。坚持一个月后定期复查，家校沟通顺畅，表现明显改善，但仍需持续管理。\u003C/div>\n\n\u003Cdiv class=\"xuli_card xuli_block\" style=\"background:linear-gradient(90deg,#e7ffe8 0,#fff 100%);border-radius:18px;padding:24px 20px 18px 20px;margin-bottom:16px;\">\n很多家长疑惑：“多动、坐不住是不是多动症？”其实，ADHD要区分生理活泼和病理多动。孩子活泼是天性，偶尔课堂小动作、课外好动但能专注完成作业很常见。ADHD则表现为长期坐不住、容易分心，常被批评“没有自控力”。如这位孩子，半年多在各种场合都被反映注意力涣散，这与单纯“淘气”不同。类似表现也可见于焦虑、睡眠不足或家庭变动等，所以诊断不能只看表面，要结合问卷、智力检测、家庭和学校情况综合判断。ADHD不是心理因素导致，更像大脑某些功能区信息传递慢，具体原因仍在研究。ADHD有遗传倾向，也受生物化学和社会环境影响，每个孩子情况不同。\u003C/div>\n\n\u003Cdiv class=\"xuli_card xuli_block\" style=\"background:linear-gradient(90deg,#fffadc 0,#fff 100%);border-radius:18px;padding:24px 20px 18px 20px;margin-bottom:16px;\">\n科学管理ADHD要讲究方法。行为干预建议家长用“奖赏-忽视-后果”三步法：孩子专注守规矩时及时表扬或奖励；小动作时可暂时忽略，影响课堂或他人时让孩子承担后果，如减少游戏时间，避免打骂。训练孩子“停下来、看看、听听”，养成三思而后行、遇到冲动先暂停的习惯。药物治疗常与行为矫正同步进行，选用托莫西汀，根据体重和耐受情况调整剂量，一周后复查。如持续注意力下降、影响生活超6个月，建议及时到儿保科咨询。必要时完善注意力测查、SNAP-IV、功能评估等标准化工具。日常管理要坚持定期复诊，每月复查症状和药物耐受性，和老师保持沟通，共同制定目标。\u003C/div>\n\n\u003Cdiv class=\"xuli_card xuli_block\" style=\"background:linear-gradient(90deg,#ffe8f4 0,#fff 100%);border-radius:18px;padding:24px 20px 18px 20px;margin-bottom:32px;\">\n只要早发现、科学干预，孩子们能更好地融入集体和学习生活。有困惑时，家长和医生一起努力，多数多动症孩子都能逐渐学会控制和适应，关键是陪伴和坚持。\u003C/div>\n\n\u003Cstyle>\n.xuli_card {\n  box-shadow:0 2px 6px 0 rgba(30,107,135,0.05);\n  transition:box-shadow .25s;\n}\n.xuli_block + .xuli_block{margin-top:0;}\n#material_title {\n  font-size:24px;\n  font-weight:700;\n  letter-spacing:1px;\n  color:#263347;\n  margin:18px 0 20px 0;\n  line-height:1.34;\n  word-break:break-all;\n  text-align:left;\n}\n@media (max-width:800px){\n  .xuli_card{padding:18px 12px 14px 12px;}\n  #material_title{font-size:19px;}\n}\n\u003C/style>\n\n\u003Csection class=\"refs\">\n\u003Col>\n\u003Cli>American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Arlington, VA: American Psychiatric Association; 2013.\u003C/li>\n\u003Cli>Faraone SV, et al. Attention-deficit/hyperactivity disorder. Nat Rev Dis Primers. 2015;1:15020.\u003C/li>\n\u003Cli>中国儿童多动症诊断与治疗指南（2022年版）. 中华儿科杂志, 2022, 60(10): 1051-1058.\u003C/li>\n\u003Cli>Banaschewski T, et al. Evidence-based pharmacological treatment of ADHD. Int J Neuropsychopharmacol. 2022;25(7):495-511.\u003C/li>\n\u003C/ol>\n\u003C/section>","v0d47cg10004d8t1v42ljht8tte5r180",267,1,650,"2026-06-22 18:40:36","注意缺陷多动障碍, ADHD,儿童心理健康, 行为干预, 家长指导","本文章深入探讨了注意缺陷多动障碍(ADHD)的症状及科学管理方法，提供实用干预经验，帮助家长有效应对儿童多动问题。","2026-06-26 15:00:00",[42],{"menuId":43,"menuName":44,"parentId":22,"orderNum":45,"path":46,"component":47,"isFrame":48,"isCache":49,"menuType":50,"visible":35,"status":22,"createDept":6,"remark":51,"createTime":52,"children":53,"columnImage":54,"columnLogo":55,"uncheckedLogo":6,"checkedLogo":6,"isHot":22,"isHome":22,"forceLogin":22,"color":6,"seoTitle":56,"seoKeywords":57,"seoDescription":58,"contentNum":6,"promotionalPoster":59,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":60,"routerPath":46,"componentInfo":47},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","","2025-11-07 10:31:58",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:40/0d7fcb56-3dc4-4dcb-99ca-a5d5c438378e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:43/958efac7-dd02-4681-b8fd-0dd84b1bbf42.png","健康科普视频大全,了解你的健康生活","健康科普视频, 戒烟视频, 饮食健康视频, 胸痛科普, 用药知识, 职业健康视频, 贫血科普, 眼健康视频","精选健康科普视频,涵盖戒烟、胸痛、饮食、用药与职业健康等多个主题,让你轻松获取科学健康知识,提升生活质量。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:45/fa8fe113-deaa-4454-8105-d629769963dd.png","Video","心理健康,儿童疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/953896/3859f1d8-fed9-4a79-b82d-96d4fc9ccbce.tmp?a=0&auth_key=1795451621-709d6456ae4a4b58b9b5e2490dbb4a34-0-27ba1c9d3620bd61637df32fe971c7d6&br=525&bt=525&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0d47cg10004d8t1v42ljht8tte5r180&er=0&l=2026102414291552DE2B2C42433C925654&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=MzQ4dztrbzc0OzczNGY3M0ApO3Vod3dtNXl3ZzMzajpneWc1b2JxcWcvc3FhLS1kNGFzcy0uMnE1ZWkxLjUxLS5gMS06Yw%3D%3D&vl=&vr=",{"code":9,"msg":10,"message":6,"data":65,"success":14},{"pageNo":35,"pageSize":66,"result":67,"totalSize":22},10,[],{"code":9,"msg":63,"message":6,"data":6,"success":14}]