成人癫痫患者社会功能缺陷的特点及其影响因素
发布时间:2018-01-30 03:58
本文关键词: 癫痫 社会功能缺陷 影响因素 成人 出处:《临床神经病学杂志》2017年02期 论文类型:期刊论文
【摘要】:目的探讨成人癫痫患者社会功能缺陷的特点及其影响因素。方法对79例成人癫痫患者(癫痫组)和54名性别、年龄、学历、工作匹配的正常成人(对照组)进行社会功能缺陷筛选量表(SDSS)评分。比较两组人群之间的差异。应用多元逐步回归分析影响SDSS评分的因素。结果癫痫组SDSS评分明显高于对照组(P0.05),且其中婚姻职能、社会性退缩、家庭外的社会活动、家庭职能、个人生活自理、对外界的兴趣和关心、责任心和计划性各项得分均显著高于对照组(均P0.05)。在单因素分析中,学历、工作、发病年龄、病程、发作频率、发作类型均为SDSS评分的影响因素(均P0.05);多元逐步回归分析显示,工作、发作频率、发作类型分别为SDSS评分的重要影响因素(均P0.05)。结论成人癫痫患者的社会功能存在缺陷,受工作、发作频率、发作类型的显著影响,应当引起关注。
[Abstract]:Objective to investigate the characteristics and influencing factors of social dysfunction in adult epileptic patients. Methods 79 adult epileptic patients (epilepsy group) and 54 adult epileptic patients were enrolled in this study. Job matched normal adults (control group) were evaluated with SDSS). Multiple stepwise regression analysis was used to analyze the factors influencing SDSS score. Results the SDSS score of epilepsy group was significantly higher than that of control group (P 0.05). And among them, marriage function, social withdrawal, social activities outside the family, family functions, personal life self-care, interest and concern for the outside world. The scores of responsibility and planning were significantly higher than those of the control group (all P 0.05). In univariate analysis, educational background, work, age of onset, course of disease, frequency of attack were significantly higher than those in control group. The type of attack was the influencing factor of SDSS score (all P 0.05). Multiple stepwise regression analysis showed that work, attack frequency and attack type were the important influencing factors of SDSS score (all P0.050.Conclusion Adult epileptic patients have social function defects and work. The significant influence of frequency and type of attack should be paid attention to.
【作者单位】: 安徽医科大学第一附属医院神经内科;
【基金】:国家自然科学基金(81271444)
【分类号】:R742.1
【正文快照】: 癫痫是一种常见的慢性神经功能紊乱疾病,影响全球近7000万人,而其中的大多数癫痫患者生活在发展中国家,是发展中国家一个重大的公共卫生问题[1]。在我国,癫痫的患病率为7‰,全国约有900万患者,每年约新增45万癫痫患者,癫痫已成为神经系统疾病中仅次于脑卒中的第二大常见病。其,
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