病毒性心肌炎对患儿心理行为的影响  

Mentality and behavior of children suffering from viral myocarditis

作　　者：王振先[1] 徐兰[1] 王育龙[1] 张克香[1] 张坤[1] 张兆华[1] 

机构地区：[1]山东大学第二医院儿科,济南250033

出　　处：《中华儿科杂志》2006年第2期122-125,共4页Chinese Journal of Pediatrics

摘　　要：目的研究病毒性心肌炎对儿童心理行为的影响。方法采用湖南医科大学龚耀先1986年修订的Achenbach儿童行为量表对178例病毒性心肌炎患儿进行心理行为的检测。结果病毒性心肌炎儿童心理行为异常检出率明显高于对照组。心肌炎儿童心理行为粗分均值的比较也有类似的结果,心肌炎患儿心理行为的总粗分均显著高于对照组,差异有统计学意义(P<0.01)。男孩主要表现在抑郁、交往不良、体诉、社会退缩、攻击方面。女孩主要表现在抑郁、社会退缩、体诉、违纪方面。差异有统计学意义(P<0.01)。第2次测试,迁延期男孩第2次总粗分及忧郁粗分高于第1次,差异有统计学意义(P<0.05);迁延期女孩总粗分高于急性期女孩,差异有统计学意义(P<0.05),心肌炎各组男孩在交往不良、体诉、社会退缩3个方面均明显高于对照组,差异有统计学意义(P<0.01)。在攻击性方面,心肌炎各组男孩粗分高于对照组,差异有统计学意义(P<0.05)。迁延期男孩第2次总粗分及忧郁粗分高于第1次,差异有统计学意义(P<0.05)。违纪因子粗分,第2次测试明显高于第1次且明显高于急性期女孩第2次测试,差异有统计学意义(P<0.01)。心理行为因子异常检出率与患儿年龄呈正相关,且与病情轻重有关,病情越重检出率越高。结论病毒性心肌炎对患儿的心理行为有较明显的影响,应引起重视。Objective The present study was designed to investigate the influence of viral myoearditis on mental behavior of the children. Methods Mentality and behavior of the 178 children suffering from viral myocarditis were examined with Achenbach Child Behavior Checklist （CBCL） edited by Gong Yao-xian in 1986 and 104 sex, age, education and achievement-matched children with pneumonia or upper respiratory infection were enrolled as controls. Results The mentality and behavior of the children with viral myocarditis were distinctly abnormal. The abnormal rates of boys and girls suffering from acute and deferment viral myocarditis were evidently higher than those of control children（ P 〈 0. 01 ）. The behavioral abnormities of boys were hypochondria, social difficulties, unwell of body and attack. Whereas, the girls presented hypochondria, unwell of body, social flinch and disobeyed discipline, which was significantly different from the control children. The total and hypochondria cursory mark of the second check result of deferment boys were evidently higher than those of the first check （ P 〈 0. 05 ）. The total cursory mark of the second check result of deferment girls was higher than that of the first check （ P 〈 0. 05 ） and evidently higher than that of the acute second check result （ P 〈 0. 01 ）. The abnormal rates of mentality and behavior correlated positively with the age of children and they were associated with the severity of the illness. Conclusion Viral myocarditis evidently affected the mentality and behavior of children, which should be paid great attention to.

关 键 词：心肌炎 病毒性疾病 儿童心理学 儿童行为 

分 类 号：R725.4[医药卫生—儿科]