安徽医科大学学报
安徽醫科大學學報
안휘의과대학학보
Acta Universitatis Medicinalis Anhui
2015年
9期
1301-1305
,共5页
陈静%周农%刘天龙%顾安丽%陈晓霞
陳靜%週農%劉天龍%顧安麗%陳曉霞
진정%주농%류천룡%고안려%진효하
癫痫%注意缺陷多动障碍%执行功能%儿童%生态%横断面研究
癲癇%註意缺陷多動障礙%執行功能%兒童%生態%橫斷麵研究
전간%주의결함다동장애%집행공능%인동%생태%횡단면연구
epilepsy%attention deficit hyperactivity disorder%executive function%children%ecological%cross-sec-tional studies
目的 探讨癫痫共患注意缺陷多动障碍( ADHD)儿童的生态学执行功能特点及其影响因素. 方法 采用横断面调查研究,对79例癫痫儿童应用美国《精神障碍诊断与统计手册》第4版 ( DSM-IV)标准编制的儿童ADHD临床诊断性会谈量表进行评估. 癫痫儿童与52例年龄、性别、受教育程度与之匹配的正常儿童均完成执行功能行为评定量表(BRIEF)父母版问卷评定. 结果 ① 79 例癫痫儿童中30例共患ADHD,共患率为37. 97%. 癫痫共患ADHD组与非ADHD癫痫组在性别、年龄、起病年龄、受教育程度、病程、控制与否、家族史、脑外伤史方面差异无统计学意义;在癫痫的发作类型、是否药物治疗方面差异有统计学意义(P <0. 05). ② 癫痫共患ADHD组在行为管理指数、元认知两个维度得分均高于非ADHD癫痫组及对照组,差异有统计学意义(P<0. 05). ③ 癫痫共患ADHD组的发作类型、病程、癫痫发作控制与否、服药与否等临床特征与BRIEF显著相关( P<0. 05 ). 结论 癫痫共患ADHD组生态学执行功能全面受损,受损程度比非ADHD癫痫组更严重. 癫痫共患ADHD儿童生态学执行功能受发作类型、癫痫发作控制与否、服药与否等的显著影响.
目的 探討癲癇共患註意缺陷多動障礙( ADHD)兒童的生態學執行功能特點及其影響因素. 方法 採用橫斷麵調查研究,對79例癲癇兒童應用美國《精神障礙診斷與統計手冊》第4版 ( DSM-IV)標準編製的兒童ADHD臨床診斷性會談量錶進行評估. 癲癇兒童與52例年齡、性彆、受教育程度與之匹配的正常兒童均完成執行功能行為評定量錶(BRIEF)父母版問捲評定. 結果 ① 79 例癲癇兒童中30例共患ADHD,共患率為37. 97%. 癲癇共患ADHD組與非ADHD癲癇組在性彆、年齡、起病年齡、受教育程度、病程、控製與否、傢族史、腦外傷史方麵差異無統計學意義;在癲癇的髮作類型、是否藥物治療方麵差異有統計學意義(P <0. 05). ② 癲癇共患ADHD組在行為管理指數、元認知兩箇維度得分均高于非ADHD癲癇組及對照組,差異有統計學意義(P<0. 05). ③ 癲癇共患ADHD組的髮作類型、病程、癲癇髮作控製與否、服藥與否等臨床特徵與BRIEF顯著相關( P<0. 05 ). 結論 癲癇共患ADHD組生態學執行功能全麵受損,受損程度比非ADHD癲癇組更嚴重. 癲癇共患ADHD兒童生態學執行功能受髮作類型、癲癇髮作控製與否、服藥與否等的顯著影響.
목적 탐토전간공환주의결함다동장애( ADHD)인동적생태학집행공능특점급기영향인소. 방법 채용횡단면조사연구,대79례전간인동응용미국《정신장애진단여통계수책》제4판 ( DSM-IV)표준편제적인동ADHD림상진단성회담량표진행평고. 전간인동여52례년령、성별、수교육정도여지필배적정상인동균완성집행공능행위평정량표(BRIEF)부모판문권평정. 결과 ① 79 례전간인동중30례공환ADHD,공환솔위37. 97%. 전간공환ADHD조여비ADHD전간조재성별、년령、기병년령、수교육정도、병정、공제여부、가족사、뇌외상사방면차이무통계학의의;재전간적발작류형、시부약물치료방면차이유통계학의의(P <0. 05). ② 전간공환ADHD조재행위관리지수、원인지량개유도득분균고우비ADHD전간조급대조조,차이유통계학의의(P<0. 05). ③ 전간공환ADHD조적발작류형、병정、전간발작공제여부、복약여부등림상특정여BRIEF현저상관( P<0. 05 ). 결론 전간공환ADHD조생태학집행공능전면수손,수손정도비비ADHD전간조경엄중. 전간공환ADHD인동생태학집행공능수발작류형、전간발작공제여부、복약여부등적현저영향.
Objective To study the characteristics of ecological executive function and influencing factors of epilep-tic children with attention deficit hyperactivity disorder ( ADHD) . Methods By utilizing the cross-sectional survey study, 79 cases of epileptic children were evaluated according to the clinical diagnostic scale of the Diagnostic and Statistical Manual of Mental Disorders ( DSM-IV, USA);all of the epileptic children and 52 cases of normal chil-dren with the matched age, gender and levels of education were completed with the questionnaire evaluation of Be-havior Rating Index of Executive Function ( BRIEF, Parents Version) . Results ①30 cases of ADHD were found in 79 cases of children with epilepsy, and the coincidence rate was 37. 97%. There were no statistically significant differences between epileptic children with ADHD and epileptic children without ADHD in gender, age, onset age, education level , course of diseases , control or not , family history and history of traumatic brain injuries . But there were statistically significant differences in epileptic seizure type and drug treatment or not ( P<0. 05 ) . ②The two scores of behavior management index and metacognition were higher in epileptic children with ADHD than the epi-leptic children without ADHD and the normal group, and the differences were statistically significant (P<0. 05).③ The clinical characteristics of seizure type, course of disease, epileptic seizure control or not and drug treatment or not in epileptic children with ADHD were significantly correlated with BRIEF(P<0. 05). Conclusion The eco-logical executive function is comprehensively damaged in the epileptic children with ADHD, and the damage is more serious than the epileptic children without ADHD. The ecological executive function of epileptic children with ADHD is significantly influenced by epilepsy seizure type, epilepsy control or not and drug treatment or not.