热性惊厥对儿童持续性注意力影响的研究

Study on sustained attention in children with a history of febrile seizures.

【目的】探讨热性惊厥(febrile seizures,FS)对儿童注意力的影响。【方法】对30例有单纯型热性惊厥(simple febrile seizures,SFS)史、30例有复杂型热性惊厥(complex febrile seizures,CFS)史和30例无热性惊厥史的儿童采用视听整合持续操作测试(integrated visual and auditory continuous performance test,IVA-CPT)进行对比分析。【结果】CFS组综合注意商数为83.000±23.199、视觉注意力商数为83.167±23.878、视觉一致性商数为92.250±16.103、视觉警醒商数为79.000±27.330、听觉警醒商数为77.167±29.652和视觉集中商数为95.417±10.975,而正常对照组的上述结果分别为98.947±14.905,99.632±14.359,105.605±12.684,96.895±16.097,95.632±19.462,和104.947±10.449,两组结果比较差异均有统计学意义(P值均<0.05)。SFS组与正常对照组之间各注意力商数差异无统计学意义。CFS组与SFS组仅听觉警醒商数一项差异有统计学意义,余各项商数差异均无统计学意义。【结论】复杂型热性惊厥儿童存在反应控制力和持续性注意力的损害,单纯型热性惊厥儿童不存在反应控制力和持续性注意力的损害。

【Objective】 To explore the characteristics of sustained attention in children with a history of febrile seizures（FS）.【Methods】 Thirsty children with a history of simple febrile seizures（SFS）,30 children with a history of complex febrile seizures（CFS） and 30 children without a history of FS were assessed using the Integrated Visual and Auditory Continuous Performance Test（IVA-CPT）.The quotients among groups were compared.【Results】 In the CFS group,the combination attention quotient was 83.000±23.199,the visual attention quotient was 83.167±23.878,the visual concordance quotient was 92.250±16.103,the visual vigilance quotient was 79.000±27.330,the auditory vigilance quotient was77.167±29.652,and the visual focus quotient was 95.417±10.975.The quotients in the normal control group were 98.947±14.905,99.632±14.359,105.605±12.684,96.895±16.097,95.632±19.462,and 104.947±10.449,respectively.The results of the two groups were significantly different（P0.05）.No significant differences were found between the SFS group and normal group in any of the quotients.A significant difference between the CFS group and SFS group was only found in the auditory vigilance quotient： the other quotients were not significantly different.【Conclusion】 The ability of response control and sustained attention is impaired in children with CFS and not impaired in children with SFS.