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-  2018 

应用Conners父母问卷对癫痫儿童行为问题的研究及相关分析 Study and Correlative Analysis on the Behavioral Problems of Children with Epilepsy by Conners Parents' Questionnaire

Keywords: 癫痫,行为问题,Conners量表,共患病

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Abstract:

目的:探讨癫痫儿童行为问题状况及不同临床特征对行为问题的影响及相关分析。方法:应用Conners父母问卷对50例癫痫儿童和52例健康对照儿童进行行为问题分析,并根据不同临床特征对癫痫儿童共患行为问题作单因素和多因素分析。结果:癫痫组行为问题检出率34%,癫痫组Conners父母问卷的6个因子得分均高于对照组和中国常模(P<0.05)。癫痫儿童中,9-11岁组的学习问题得分最高,早产儿的焦虑因子得分高于非早产儿,剖宫产儿的冲动-多动因子得分高于顺产儿,全面性发作组的品行问题因子得分高于局灶性发作组,病程>2年组的学习问题因子高于病程≤2年组(P均<0.05)。首次发作年龄与品行问题因子得分呈负相关,发作频率与焦虑、病程与学习问题、用药数量与品行问题的因子得分均呈正相关。多因素Logistic回归分析显示剖宫产、发作频率高、联合用药是影响癫痫患儿行为问题的危险因素,OR(95%CI)分别为7.278(1.159-45.697)、2.427(1.312-4.489)、20.170(1.076-378.003)。结论:癫痫儿童共患行为问题的发生率较高,且不同临床特征的癫痫患儿的行为问题各因子得分差异显著,剖宫产、发作频率越高、联合用药是癫痫患儿共患行为问题的高危因素

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