睡眠中癫痫性电持续状态患儿眼区情绪辨别障碍研究  

Emotion discrimination disordeRin eye area of children with electrical status epilepticus sleep

作　　者：杨春梅 吴璐璐 张凯利[1] 汪晓翠[1] 叶小飞 杨斌[1] YANG Chunmei;WU Lulu;ZHANG Kaili;WANG Xioacui;YE Xiaofei;YANG Bin(Anhui Children's Hospital Affiliated to Anhui Medical University,Hefei,Anhui 230000,China)

机构地区：[1]安徽医科大学附属安徽省儿童医院/安徽医科大学第五临床医学院,安徽合肥230000

出　　处：《淮海医药》2023年第2期115-119,共5页Journal of Huaihai Medicine

摘　　要：目的:探讨睡眠中癫痫性电持续状态(ESES)患儿眼区情绪识别障碍特点及其相关临床影响因素。方法:选取安徽省儿童医院2020年9月—2022年1月收治的56例ESES患儿为研究对象,根据脑电图棘慢波指数(SWI)监测计算结果将患儿分为典型组(SWI≥85%~100%)24例和非典型组(SWI≥50%~85%)32例,采用眼区基本情绪辨别任务系统和眼区复杂情绪辨别任务系统及Spearman相关分析,研究2组患儿的眼区情绪辨别障碍特点并对临床因素进行相关性分析。结果:典型组患儿喜、厌、惊、恐、怒识别得分低于非典型组,简单情绪识别总分[96.50(84.00,102.75)分VS 105.00(101.00,105.00)分]及复杂情绪识别总分[18.00(14.00,21.25)分VS 21.00(17.00,21.00)分]低于非典型组,差异均有统计学意义(P<0.05)。2组患儿在悲伤情绪识别得分[15.00(14.00,17.00)分VS 17.00(14.25,18.00)分]方面比较差异无统计学意义(P>0.05)。Spearman相关分析表明,ESES患儿的简单眼区情绪识别总分与癫痫首次发病年龄呈正相关,与SWI、用药种类、ESES持续时间呈负相关。结论:ESES典型组患儿较非典型组情绪识别损害更严重;SWI、发病年龄、用药种类、ESES持续时间与ESES患儿的眼区情绪辨别能力损害相关。Objective:To investigate the characteristics and related clinical factors of emotion recognition disordeRin the eye area of children with electrical status epilepticus sleep(ESES).Methods:56 children with ESES admitted to Anhui Children's Hospital from SeptembeR2020 to January 2022 were selected as subjects.According to the monitoring results of EEG spinous wave index(SWI),the children were divided into a typical group(SWI≥85%~100%)of 24 cases,and an atypical group(SWI≥50%~85%)of 32 cases.The basic emotion discrimination task and the complex emotion discrimination task system in the eye area and Spearman correlation analysis were used to study the characteristics of emotion discrimination disordeRin the eye area in the 2 groups and analyze the related clinical influencing factors.Results:Scores of the typical group of children in joy,disgust,shock,fear,angeRrecognition were loweRthan those of the atypical group.The total score of simple emotion recognition[96.50(84.00,102.75)points VS 105.00(101.00,105.00)points]and complex emotion recognition[18.00(14.00,21.25)points VS 21.00(17.00,21.00)points]were loweRthan those of the atypical group.The differences were statistically significant(P<0.05).There was no significant difference in sadness recognition scores between the two groups[15.00(14.00,17.00)points VS 17.00(14.25,18.00)points](P>0.05).Spearman correlation analysis showed that the total score of emotion recognition in the simple eye area was positively correlated with age of first onset of epilepsy,and negatively correlated with SWI,medication type and duration of ESES in children with ESES.Conclusion:The impairment of emotion recognition in the typical group is more serious than that in the atypical group.SWI,age of onset,type of medication and duration of ESES were correlated with impairment of emotional discrimination in the eye area in children with ESES.

关 键 词：癫痫持续状态 棘慢波指数 眼区情绪辨别 

分 类 号：R742.1[医药卫生—神经病学与精神病学]