癫痫儿童气质特点研究

Temperament of Children with Epilepsy

目的了解癫痫儿童的气质特点,提供癫痫综合治疗的依据。方法以儿童气质测量软件为研究工具,对84例符合1981年国际抗癫痫联盟(ILAE)分类诊断标准的癫痫患儿的和168例正常儿童进行儿童气质父母问卷的调查。结果癫痫儿童组气质得分明显高于对照组的因子有活动水平(3.4±0.6/3.1±0.7,t=5.38,P<0.01)、适应性(3.3±0.5/2.8±0.6,t=5.82,P<0.01)、反应强度(3.8±0.8/3.6±1.0,t=5.64,P<0.01)、情绪本质(3.3±0.6/2.9±0.7,t=4.89,P<0.01)、坚持性等维度(3.2±0.7/2.6±0.7,t=5.63,P<0.01)。癫痫组难养型和启动缓慢型的患儿分别为(25.0%和10.7%)明显高于对照组(8.9%,3.6%,χ2=26.76,P<0.001)。结论癫痫儿童中难养型和启动缓慢型气质类型者较多。

Objective： To examine the temperament of childhood epilepsy. Methods： Subjects were 84 children with epilepsy diagnosed by criteria of ILAE （international league of anti-epilepsy） 1981 and 168 normal children. Their temperament was assessed with Carey＇s temperament questionnaires （for parents） . Results： Children with epilepsy had higher scores on activity level （ 3.4±0. 6/3. 1±0. 7, t=5. 38, P 〈 0. 01 ）, adaptability （ 3. 3±0. 5/2. 8±0.6, t =5.82, P〈0.01）, intensity of reaction （3.8±0.8/3.6±1.0, t =5.64, P〈0.01 ）, quality of mood （3.3±0.6/2. 9±0.7, t = 4. 89, P 〈 0. 01 ）, persistency than normal children （ 3.2±0. 7/2. 6±0. 7, t = 5.63, P 〈 0.01 ） . There were relatively higher proportion of difficult children （ 25.0% ） and slow to warm-up children （ 10. 71% ） in epilepsy group than in normal group （ 8. 93%, 3. 57%, X2 = 26. 76, P 〈 0. 001 ） . Conclusion： There are more difficult and slow-to-warm-up children in patients with epilepsy than normal children.