癫痫患儿智力结构状况及其影响因素分析
发布时间：2018-07-21 13:46
【摘要】：目的：通过韦氏智力测试了解癫痫患儿智力结构状况及其影响因素。 方法：应用中国-韦氏儿童智力测验量表对20名癫痫患儿及20名正常儿童进行测验，对入选儿童进行基本资料收集，对其结果进行统计分析。 结果：癫痫组与对照组在性别、年龄及养育背景方面相似（p0.05），，癫痫组的智力等级分布与对照组无显著差异性（p0.05），癫痫组的智力等级分布比率与人群中的理论分布比率无显著差异性（p0.05），癫痫组儿童的言语智商（VIQ），操作智商（PIQ）及总智商（FIQ）均低于对照组,差异显著（p0.05）,癫痫组与对照组儿童智力结构不平衡性无统计学差异（p0.05），癫痫组在智力测验各分测验中的分数（除编码项外）明显低于对照组儿童，具显著差异（p0.05），癫痫组脑电图所示癫痫波显著部位与韦氏智力测试各分量表弱点（与平均分比较）具相关性，其中癫痫患儿脑电图所示癫痫波显著部位为颞区，顶颞区的弱点集中在填图项（72.7%，4.75±0.886）。通过多重线性回归分析，癫痫患儿的FIQ值与起病的年龄，期望值，社会退缩行为密切相关（p0.05）。 结论：1、轻度的认知功能障碍没有使癫痫患儿与正常儿童在智力结构上有所差别.。2、良性部分性癫痫患儿与正常儿童智力结构的不平衡性相似，言语智商优于操作智商。3、癫痫患儿智力水平及各种能力水平比正常儿童低。4、癫痫患儿脑电图所示癫痫波显著部位可以影响癫痫患儿各种能力的弱点。5、癫痫患儿癫痫疾病的类型，发病的年龄，发病的频率，发作的形式，发作持续的时间，治疗用药的效果影响患儿的认知功能，尤以发病的年龄影响最密切。6、癫痫患儿的受教育程度，期望值，社会退缩行为影响患儿的认知功能，尤以期望值，社会退缩行为影响密切。7、对癫痫患儿进行规范化治疗，重视社会心理因素对癫痫患儿认知的影响，积极早期干预，早期特殊教育，早期技能训练，改善患儿的生活质量。8、需要扩大样本量针对不同类型癫痫患儿探讨韦氏智力测试各分测验所负荷的智力因素的受损情况，进行有效干预。
[Abstract]:Objective: to investigate the intelligence structure and its influencing factors of epileptic children by Wechsler intelligence test. Methods: 20 epileptic children and 20 normal children were tested by China Wechsler Children Intelligence scale. The basic data of the children were collected and the results were statistically analyzed. Results: the sex of epileptic group and control group, Age and parenting background were similar (p0.05). There was no significant difference in intelligence grade distribution between epileptic group and control group (p0.05). There was no significant difference in intelligence grade distribution ratio between epileptic group and theoretical distribution ratio in population (p0.05). Children's speech in epileptic group was similar (p0.05). Language IQ (VIQ), operational IQ (PIQ) and total IQ (FIQ) were lower than those in control group. The difference was significant (p0.05). There was no significant difference in the intelligence structure imbalance between the epileptic group and the control group (p0.05). The scores of the epileptic group in the intelligence test were significantly lower than those in the control group (except the coding item). There was significant difference (p0.05). The significant part of epileptic wave in epileptic group was correlated with the weakness of Wechsler intelligence test subscale (compared with average score), and the significant part of epileptic wave in epileptic children was temporal region. The weakness of parietal and temporal region was mainly in the mapping item (72.7 卤0.886). By multiple linear regression analysis, the FIQ of epileptic children was closely correlated with onset age, expectation and social withdrawal behavior (p0.05). Conclusion: the mild cognitive impairment does not make the intelligence structure of children with epilepsy different from that of normal children. The intelligence structure of benign partial epilepsy children is similar to that of normal children. The intelligence level and ability of epileptic children were lower than that of normal children. The significant part of epileptic wave in epileptic children could influence the weakness of epilepsy children's various abilities, and the type of epileptic diseases in epileptic children. The age of onset, frequency of onset, form of attack, duration of seizure, the effect of treatment and medication affect the cognitive function of children, especially the age of onset, the education level and expectation of epileptic children, The behavior of social withdrawal affects the cognitive function of the children, especially the expected value, the social withdrawal behavior has a close influence on the children with epilepsy, the children with epilepsy are treated standardized, the influence of the social psychological factors on the cognition of the children with epilepsy is emphasized, and the early intervention is positive. Early special education, early skill training, improving the quality of life of children. 8. The need to expand the sample size to explore the different types of epilepsy children Wechsler intelligence test load of intelligence factors damage, effective intervention.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R742.1
本文编号：2135719
[Abstract]:Objective: to investigate the intelligence structure and its influencing factors of epileptic children by Wechsler intelligence test. Methods: 20 epileptic children and 20 normal children were tested by China Wechsler Children Intelligence scale. The basic data of the children were collected and the results were statistically analyzed. Results: the sex of epileptic group and control group, Age and parenting background were similar (p0.05). There was no significant difference in intelligence grade distribution between epileptic group and control group (p0.05). There was no significant difference in intelligence grade distribution ratio between epileptic group and theoretical distribution ratio in population (p0.05). Children's speech in epileptic group was similar (p0.05). Language IQ (VIQ), operational IQ (PIQ) and total IQ (FIQ) were lower than those in control group. The difference was significant (p0.05). There was no significant difference in the intelligence structure imbalance between the epileptic group and the control group (p0.05). The scores of the epileptic group in the intelligence test were significantly lower than those in the control group (except the coding item). There was significant difference (p0.05). The significant part of epileptic wave in epileptic group was correlated with the weakness of Wechsler intelligence test subscale (compared with average score), and the significant part of epileptic wave in epileptic children was temporal region. The weakness of parietal and temporal region was mainly in the mapping item (72.7 卤0.886). By multiple linear regression analysis, the FIQ of epileptic children was closely correlated with onset age, expectation and social withdrawal behavior (p0.05). Conclusion: the mild cognitive impairment does not make the intelligence structure of children with epilepsy different from that of normal children. The intelligence structure of benign partial epilepsy children is similar to that of normal children. The intelligence level and ability of epileptic children were lower than that of normal children. The significant part of epileptic wave in epileptic children could influence the weakness of epilepsy children's various abilities, and the type of epileptic diseases in epileptic children. The age of onset, frequency of onset, form of attack, duration of seizure, the effect of treatment and medication affect the cognitive function of children, especially the age of onset, the education level and expectation of epileptic children, The behavior of social withdrawal affects the cognitive function of the children, especially the expected value, the social withdrawal behavior has a close influence on the children with epilepsy, the children with epilepsy are treated standardized, the influence of the social psychological factors on the cognition of the children with epilepsy is emphasized, and the early intervention is positive. Early special education, early skill training, improving the quality of life of children. 8. The need to expand the sample size to explore the different types of epilepsy children Wechsler intelligence test load of intelligence factors damage, effective intervention.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R742.1
【参考文献】
相关期刊论文 前2条
1 刘永红;王莲;李小宁;黄远桂;;癫痫的诊治与人文思想[J];医学与哲学(临床决策论坛版);2009年02期
2 路晴;曲鸿;;癫痫儿童认知功能障碍诊断中的问题[J];医学与哲学(临床决策论坛版);2010年08期
本文编号：2135719
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