癫痫儿童适应行为特点的对照研究

Adaptive Behaviours of Children with Epilepsy

摘要:

目的  探讨癫痫儿童与正常儿童在适应行为方面的差异。方法  根据病例对照研究原则，采用１：１配对法，应用儿童适应行为评定量表分别对４２例３～１２岁癫痫儿童及正常儿童进行调查。结果  ①癫痫儿童的适应行为商数明显低于对照组[（８２．９±２７．３）ｖｓ（１０３．０±１４．６）］（Ｐ＜０．０５）。②癫痫儿童适应行为缺损主要表现在感觉运动、语言发展、社会责任、时空定向方面。在独立功能因子、认知功能因子方面与对照组比较差异有显著性(Ｐ＜０．０１或０．０５）。 ③癫痫的严重程度、家庭关系、父母文化程度、年龄及居住环境对癫痫儿童的适应行为有所影响（Ｐ＜ ０．０１或０．０５）。结论  癫痫儿童易出现适应行为缺损，对癫痫儿童进行必要的心理干预有助于提高其生活质量。

Abstract:

OBJECTIVE: To explore the differences in adaptive behaviours between epileptic children and nonepileptic children. METHODS: Adaptive behaviours were studied in 42 children with epilepsy and 42 healthy children(control group), aged between 3 and 12 years. RESULTS: ①Adaptive Quotient(ADQ) in the epileptic children was obviously lower than that in the control group [(82.9±27.3) vs(103.0±14.6)](P < 0.05 ). The defects of adaptive behaviours in children with epilepsy were found in language develop ment, social responsibility and time*.spatial orientation. Significant differences were found in the independent factor [(70.0±14.4) vs(79.3±11.8);P < 0.05] and cognitive factor [(24.4±11.9) vs(35.7±8.3);P < 0.01] between the epileptic children and controls . The significant risk factors associated with the defects of adaptive behaviours in the epileptic children were the state of epilepsy, family relation, edu cational status of the parents, and social surroundings. CONCLUSIONS: Epileptic childr en are more prone to defects in adaptive behaviours. Psychological interv entions may improve the life quality of epileptic children.