癫痫对儿童学习障碍发生的影响  

Learning disabilities in children with epilepsy

作　　者：童玉翠[1] 周农[2] 

机构地区：[1]马鞍山市十七冶医院神经内科,安徽省马鞍山市243000 [2]安徽医科大学第一附属医院神经内科,安徽省合肥市230032

出　　处：《国际神经病学神经外科学杂志》2011年第3期230-232,共3页Journal of International Neurology and Neurosurgery

基　　金：安徽省教育厅自然基金(2006K326B)

摘　　要：目的观察癫痫患儿共患学习障碍(LD)的现状以及分型并探讨癫痫的各种因素与LD发病的相关性。方法采用修订版学习障碍儿童筛查量表对110例癫痫儿童(癫痫组)进行测评,与120例对照组进行比较分析。结果癫痫组LD检出率为36.4%,对照组为10.0%,两组相比较癫痫组明显高于对照组(P<0.05)。癫痫组儿童LD中非言语型学习障碍(NLD)占70.0%。回归分析可见癫痫控制与否、发病年龄和性别是癫痫患儿共患LD的相关因素。结论癫痫儿童LD的发生率高,以NLD为常见;癫痫控制与否、发病年龄和性别与其共患LD有关。Objective To study the status and type of learning disabilities in children with epilepsy and to investigate the influencing factors for the occurrence of learning disabilities.Methods Learning disabilities were assessed with the pupil rating scale revised screening in 110 epileptic children and 120 healthy children.Results The incidence of learning disabilities in children with epilepsy was 36.4%,which was significantly higher than that in the control group（10.0%,P0.05）.The incidence of non-verbal learning disability（NLD） was 70.0% in the epilepsy group.Regression analysis showed that control of epilepsy,onset age and sex were significant factors related to the occurrence of learning disabilities in children with epilepsy.Conclusions The risk of learning disabilities was higher in children with epilepsy than normal children,and NLD was common.The control of epilepsy,onset age and sex were related to the occurrence of learning disabilities.

关 键 词：癫痫 癫痫儿童 学习障碍 

分 类 号：R742.1[医药卫生—神经病学与精神病学]