伴中央颞区棘波的良性癫幼儿的行为特点

Behavior Characteristics in Children with Benign Epilepsy Combined with Centro-Temporal Spikes

目的探讨伴中央颞区棘波的良性癫(BECTS)儿童在幼儿期的行为特点。方法BECTS患儿82例。男51例,女31例;年龄2.5～3.0(2.65±2.31)岁。均未服用过抗癫药物,经格塞尔智能发育量表评定后排除智能低下,在发作15d后进行行为评定。健康对照组82例。男53例,女29例;年龄2.5～3.0(2.6±0.4)岁。BECTS组与健康对照组性别及年龄差异无统计学意义。采用《2～3岁儿童Achenbach行为量表(CBCL)》包括社会退缩、抑郁、睡眠问题、躯体诉述、攻击行为和破坏行为等6个行为因子和《婴儿-初中学生社会生活能力量表》包括独立生活能力、活动能力、作业操作、沟通能力、集体活动和自我管理等6个区域,对二组儿童的行为特点和社会适应行为进行评定,并对二组儿童各行为因子及社会生活能力评分进行比较。结果BECTS组患儿行为特点总分高于健康对照组,差异有统计学意义,其中抑郁、睡眠问题、攻击行为和破坏行为问题因子得分高于健康对照组,二组间差异有统计学意义,而社会退缩和躯体诉述方面无显著性差异。二组儿童社会生活能力构成比无显著性差异。结论BECTS儿童在幼儿期存在不同程度的行为障碍,暂时在社会生活能力方面未显现其功能的缺陷。

Objective To explore the behavior characteristics in children with benign epilepsy combined with centro-temporal spikes （BECTS）. Methods Eighty-two children with BECTS aged 2.5 -3.0（2.65 ±2.31 ） years old,51 male, 31 female,who were free of mental retardation assessed with Gesell developmental schedules, untreated with antiepileptic drugs, and were investigated 15 days after the latest seizure. Eighty-two healthy children with sex and age matched to the cases ,53 male, 29 female, aged 2.5-3.0 （2.6±0.4 ） years old. The behavior characteristics of infants in BECTS group and control group were assessed with CBCL,including 6 behavior factors which were sleep problem, social flinches, depression, physical aspect, attacking, act of sabotage and the infants-middle school student social ability scale. Results The total scores of behavior characteristics and the scores of depression,sleep problem, attacking and act of sabotage in BECTS group were all higher than those in control group, the differences Were statistically significant. However, scores of social flinches, and physical aspect in BECTS group had no significant differences compared with those of control group. There were no significant difference of social adaptive component between the BECTS and control group. Conclusions Children with BECTS have behavior disorders to some extent, but their social adaptive capacity are the same as normal children.