脑瘫患儿与正常儿童冷热执行功能发展的对比研究

A control study on the development of ＂cool＂ and ＂hot＂ executive functions between cerebral palsy children and normal children

目的 探讨脑瘫患儿与正常儿童执行功能差异和发展情况.方法 4～6岁脑瘫患儿48人,正常儿童58人分别接受冷热执行功能测试.结果 脑瘫组冷执行功能与正常组差异有显著性[（18.34±14.31）分,（6.94±3.18）分,t=3.83,P〈0.01];脑瘫组热执行功能与正常组差异有显著性[（279.67±330.18）s,（709.31±304.13）Ss,t=-4.93,P〈0.01].脑瘫组在冷执行功能上年龄差异有显著性（F=8.689,P〈0.01）,在热执行功能上,年龄差异有显著性（F=3.833,P〈0.05）;正常组在冷执行功能上年龄差异有显著性（F=15.469,P〈0.01）,在热执行功能上,年龄差异有显著性（F=8.470,P〈0.01）.冷热执行功能显著负相关（r=-0.440,P〈0.01）.结论 脑瘫患儿冷热执行功能落后于正常儿童,冷热执行功能在4～6岁间呈发展趋势,但脑瘫儿童与正常儿童发展趋势不完全一致.脑瘫患儿冷热执行功能没有分离,而是相关.

Objective To explore the differences and development of executive function（EF） between cerebral palsy（CP） children and normal children. Methods Forty-eight 4 ～6 years old CP children and fiftyeight normal children were tested by ＂cool＂ and ＂hot＂ EFs. Results There were significant differences between ＂cool＂ EF of CP children（18.34±14.31） and normal children（6.94 ±3. 18） （ t = 3. 83, P〈0.01 ） ;and there were significant differences between ＂hot＂ EF of CP children（279.67 ±330. 18） and normal children（709.31 ± 304. 13）（ t = -4.93, P〈 0.01）. There were significant age differences on the ＂cool＂ EF （ F=8.689, P〈 0.01） and ＂hot＂ EF （ F=3. 833, P〈0.05） of CP children. There were significant age differences on the ＂cool＂ EF （ F= 15.469, P〈0.01） and on the ＂hot＂ EF （ F=8.470, P〈0.01） of normal children. There was negative correlation between ＂cool＂ EFs and ＂hot＂ EFs（ r= -0.440, P〈0.01）. Conclusion ＂Cool＂ and ＂hot＂ EFs of CP children are lower than those of normal children. ＂Cool＂ and ＂hot＂ EFs can develop from 4 to 6 years old,but the development of EFs are not absolutely consistent between CP children and normal children. There is correlation between ＂cool＂ and ＂hot＂ EFs in patients with CP,but not dissociation.