CAJ | 학술논문

目的探讨精神运动性癫痫患儿的记忆障碍情况.方法采用修订的韦氏记忆量表对60例正常对照组儿童及76例精神运动性癫痫患儿分别进行测评,观察相应指标的变化.结果精神运动性癫痫患儿较正常儿童存在明显记忆障碍,发作频率对记忆障碍无影响( P ＞0.05),而病程长短及临床是否控制良好与记忆障碍有关影响( P ＜0.05);左侧起源者较右侧起源者短时记忆、瞬时记忆和总MQ水平均偏低,尤其是联想学习[(8.12±3.16)分,(9.79±2.67)分]、背数[(5.44±3.84)分,(7.47±3.26)分]及总MQ[(79.21±24.36)分,(93.34±26.07)分]水平差异有显著性( P ＜0.05).左侧起源者治疗后较右侧起源者治疗后记忆改善似乎更明显,尤以联想学习、理解记忆、背数及总MQ水平改善显著( P ＜0.05).结论精神运动性癫痫患儿有明显的记忆障碍;良好的临床控制以及尽可能缩短病程对保护及改善记忆障碍有积极作用.
목적 탐토정신운동성전간환인적기억장애정황.방법 채용수정적위씨기억량표대60례정상대조조인동급76례정신운동성전간환인분별진행측평,관찰상응지표적변화.결과 정신운동성전간환인교정상인동존재명현기억장애,발작빈솔대기억장애무영향( P ＞0.05),이병정장단급림상시부공제량호여기억장애유관영향( P ＜0.05);좌측기원자교우측기원자단시기억、순시기억화총MQ수평균편저,우기시련상학습[(8.12±3.16)분,(9.79±2.67)분]、배수[(5.44±3.84)분,(7.47±3.26)분]급총MQ[(79.21±24.36)분,(93.34±26.07)분]수평차이유현저성( P ＜0.05).좌측기원자치료후교우측기원자치료후기억개선사호경명현,우이련상학습、리해기억、배수급총MQ수평개선현저( P ＜0.05).결론 정신운동성전간환인유명현적기억장애;량호적림상공제이급진가능축단병정대보호급개선기억장애유적겁작용.
Objective To study the memory disorder in psychomotor epilepsy children. Methods The WMS-R Scales were used to evaluate the memory to 76 psychomotor epilepsy children who met the entry criteria. Seventy normal children who had the similar personal characters served as control. Results Compared with control group,Memory was lower in psychomotor epilepsy children.The memory in psychomotor epilepsy children was notable correlated with the durations of the illness.The more longer durations of the illness,the more worse memory function( P ＜0.05).The memory of cases which seizures arisen from left temporal lobe was more easily suffered from illness than that of cases which seizures arisen from right temporal lobe( P ＜0.05). The left side of the origin and the origin of the right to compare, memory improvement seem to be more clear after treatment( P ＜0.05).Conclusion Memory in psychomotor epilepsy children was lower than normal children. Good clinical control and shorten the course to protect and improve the memory disorders have a positive effect.