伴中央颞区棘波的儿童良性癫痫风险决策能力的研究

发布时间：2018-03-06 17:55

本文选题：伴中央颞区棘波的儿童良性癫痫　切入点：决策　出处：《安徽医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的探讨伴中央颞区棘波的儿童良性癫痫(Benign epilepsy children with centrotemporal spikes,BECT)患儿风险决策能力。方法采用爱荷华博弈测试(Iowa Gambling Task,IGT)和骰子博弈测试(Game of Dice Test,GDT)对78例BECT的患儿和75名健康儿童进行风险决策能力对比研究。结果1、IGT测试成绩中,BECT组总有利选择(49.35±5.38)低于健康对照组(52.24±6.23),差异有统计学意义(t=-2.56,P0.05);BECT组净得分(-1.41±10.60)明显低于健康对照组(4.43±11.88),差异有统计学意义(t=-3.21,P0.05);两组在5个Block上净得分的单独比较结果显示,健康对照组的Block1、Block4和Block5净得分均明显高于BECT组(P均0.05)。2、在GDT测试成绩中,BECT组的净得分(4.42±7.74)与对照组(5.49±6.81)相比,差异无统计学意义(t=-0.91,P=0.37)。3、Pearson相关分析结果显示,BECT患儿在IGT、GDT中的净得分与年龄、发病年龄、受教育年限、发作次数以及发作持续时间均无显著相关性(IGT均|r|0.3,均P0.05;GDT均|r|0.3,均P0.05)。结论BECT患儿在风险概率明确条件下无明显决策能力障碍,而在风险概率不明确条件下存在明显的决策能力障碍,其决策障碍可能与额叶功能受损相关。
[Abstract]:Objective to investigate the risk decision-making ability of children with benign epilepsy children with centrotemporal spikestick (BECT) with central temporal spikelet. Methods 78 children with BECT and 75 healthy controls were treated by Iowa Gambling TaskIGT and Dice Game of Dice Test GDTs. Results 1 in IGT test group, the total favorable choice was 49.35 卤5.38), which was significantly lower than that in healthy control group (52.24 卤6.23), and the difference was statistically significant (P 0.05 0. 06). The net score of BECT group was significantly lower than that of healthy control group (4.43 卤11.88), which was significantly lower than that of healthy control group (4.43 卤11.88). The net scores of the two groups on 5 Block were compared separately. The net scores of Block1Block4 and Block5 in the healthy control group were significantly higher than those in the BECT group (P < 0.05), and the net score in the GDT test group was 4.42 卤7.74), which was not significantly different from that in the control group (5.49 卤6.81). There was no significant correlation between the age of onset, the years of education, the number of episodes and the duration of attack. All patients with BECT had no significant decision ability disorder under the condition of definite risk probability. Under the condition of uncertain risk probability, there are obvious decision ability disorders, which may be related to frontal lobe dysfunction.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R742.1

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