原发性癫儿童持续性注意的研究  

Study of sustained attention of children with idiopathic epilepsy

作　　者：马灿灿 周农[2] 

机构地区：[1]扬州大学临床医学院神经内科,225001 [2]安徽医科大学第一附属医院神经内科

出　　处：《临床神经病学杂志》2011年第3期168-170,共3页Journal of Clinical Neurology

基　　金：安徽省教育厅自然科学基金(2006KJ326B)

摘　　要：目的探讨原发性癫儿童持续性注意及其影响因素。方法采用视觉注意力变量测试软件,对38例新诊断的原发性癫患儿（EP组）和74例正常儿童（NC组）进行持续性注意检测,比较两组间各指标的差异;采用多元线性逐步回归分析癫患儿年龄、性别、智商、受教育年限、发病年龄、病程、发作频率及类型对持续性注意的影响。结果 EP组疏漏、反应时、反应时变异性及反应灵敏度与NC组比较差异有统计学意义（P〈0.05~0.01）。原发性癫儿童的发病年龄是疏漏、反应时、反应时变异性及反应灵敏度的影响因素（P〈0.05~0.01）;病程是错认和反应时的影响因素（均P〈0.05）;性别是错认、反应时、反应时变异性及反应灵敏度的影响因素（P〈0.05~0.01）;受教育年限是反应时和反应时变异性的保护因素（均P〈0.01）。结论原发性癫儿童存在持续性注意损害;发病年龄、病程、性别和受教育年限是持续性注意的影响因素。Objective To study the sustained attention of children with idiopathic epilepsy and the its related influential factors. Methods The sustained attention was evaluated by the test of Variables of Attention-Visual software in 38 newly diagnosed idiopathic epileptic children （EP group） and 74 normal controls （NC group）. The results were compared between the two groups. The multiple regression analyze was performed to examine the influential factors of sustained attention such as age, gender, IQ, educational level, age of onset, duration of epilepsy, seizure frequency and type. Results Compared with NC group, the differences of omission errors, reaction response time, response time variability, and response sensitivity in EP group had statistical significance （P 〈0. 05 -0.01 ）. Moreover, in children with idiopathic epilepsy, the age of onset was the influential factor of omission errors, reaction response time, response time variability, and response sensitivity （P 〈 0. 05 - 0.01 ） ; the duration of epilepsy was the influential factor of confusion errors and reaction response time （ all P 〈 0. 05 ） ; the gender was the influential factor of confusion errors, reaction response time, response time variability, and response sensitivity （P 〈0.05-0.01 ）;the education was the protective factor of reaction response time and response time variability （all P 〈 0. 01 ）. Conclusion The sustained attention in children with idiopathic epilepsy is impairment, and its influential factors are the age of onset, duration of epilepsy, gender and education.

关 键 词：原发性癫 持续性注意 

分 类 号：R742.1[医药卫生—神经病学与精神病学]