癫痫患儿生活质量与气质类型的相关性

Relationship Between the Quality of Life and the Temperament in Children with Epilepsy

目的:探讨癫痫患儿的生活质量和气质类型以及它们之间的关系,为癫痫患儿的早期干预治疗提供理论依据。方法:采用癫痫患者生活质量专用量表(QOLIE-31)和儿童智商测试仪,对42例符合入选标准的癫痫患儿和56例正常儿童进行生活质量、气质类型评估。结果:癫痫组儿童的生活质量低于对照组(tQOL总分=3.585,P<0.01);癫痫组儿童与正常组儿童的气质类型分布不同,癫痫组难养型的儿童为40.5%,明显高于正常组的19.6%(χ2=6.417,P<0.05);癫痫组在活动水平、节律性、适应性、反应强度、坚持性、情绪本质、注意分散度等气质纬度的得分上均高于正常组,差异具有统计学意义(P<0.05);不同气质类型的癫痫患儿的生活质量评分,难养型与中间型、易养型比较均有显著性差异(P<0.05),难养型生活质量评分较低,其他类型之间无显著性差异(P>0.05)。结论:癫痫患儿的生活质量与正常儿童相比有明显差别,癫痫患儿的生活质量差;癫痫对儿童的气质特点有显著的影响,使患儿的气质偏向消极;癫痫患儿的生活质量与气质类型之间存在相关性,难养型癫痫患儿的生活质量较差。

Objective：To investigate the quality of life and temperament changes in epilepsy children so as to provide theory basis for the early treatment of epilepsy.Methods：A total of 98 children,including 42 epilepsy children and 56 control children,were subordinated to the study.Then we evaluated their quality of life with special evaluation scale（QOLIE-31）,and assessed their temperament type with specific IQ instrument.Results：The total QOL score of epilepsy group was less than that of control group（P0.01）.The distribution of temperament type was obvious differ-ent（P=0.0400.05）between this two groups,40.5% of the epilepsy children were high-maintenance temperament type,while there was 19.6%in the control group.Compared with control group,the temperament dimensions scores which epilepsy children got in the activity,rhythmicity,adaptability,response intensity,persistence,emotional nature and attention dispersion were higher.Conclusion：It is obvious that quality of life of epilepsy children are worse than healthy children.Children＇s temperament type is affected by epilepsy,and it will take a negative effect on children.Also,the current results indicate that there may have a certain correlation between quality of life and temperament type of epilepsy children.