癫痫儿童生活质量的影响因素分析

The study of the quality of life in children with epilepsy

目的探讨癫痫儿童的生活质量（QOL）及其影响因素。方法应用美国“癫痫儿童生活质量量表”测试96例人选的癫痫患儿和50例健康对照儿童，评估其社会心理状况，分析影响因素。结果癫痫患儿生活质量明显低于健康儿，主要表现为对发作的恐惧、长期用药的担忧及社会交往困难；起病年龄、病程、就诊年龄影响其生活质量（P〈0．05或P〈0．01）；心理抑郁、家庭环境、发作担忧、记忆功能、药物影响和发作频率等因素对QOL的影响较大，相关程度呈递减趋势。结论癫痫患儿QOL明显降低，加强对癫痫儿童的综合治疗．控制发作是提高其QOL的前提。

Objective To study the quality of life and influencing factors in children with epilepsy. Methods The psychology of 96 children with epilepsy and 50 normal children were evaluated with the American quality of life and the affecting factors were analyzed. Results The quality of life of the epilepsy children was remarkably lower than that of normal children. The main presentation was seizure worry,side effects of drugs and difficulty of social intercourse. The age of initial presentation, the course of ease and so on affected quality of life in children with epilepsy（ P 〈 0.05 or P 〈 0.01 ）. The factors such as depression, family environment, memory function, drug influence and seizure worry played important roles in decreasing order of importance. Conclusion QOL of children with epilepsy was remarkablely lower than normal children. General comprehensive care should be applied to children with epilepsy. Adequate drug treatment to control the seizure attack was very important.