癫痫儿童焦虑抑郁情绪的评定与共患病临床研究.doc

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1、癫痫儿童焦虑抑郁情绪的评定与共患病临床研究【摘要】目的：通过不同情绪测试量表，探讨癫痫患儿心理障碍问题，为癫痫儿童共患精神疾病的诊断与治疗提供依据。方法：选取2012年9月-2015年12月青岛大学医学院附属医院收治的确诊为癫痫的儿童共100例作为癫痫组；选取同期来医院就诊治疗的非癫痫儿童100例作为对照组，均为非神经系统疾病患儿。采用汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）及专门针对儿童的焦虑抑郁量表对癫痫患儿进行测试，并口对儿童多动症（ADI1D）进行诊断记录。结果：癫痫组患儿的IIAMA及HAMD总分均显著高于对照组，差异均有统计学意义（P〈0.05）

2、；癫痫组IIAMA总分$14分及IIAMD总分上20分的患儿比例均显著高于对照组，差异均有统计学意义（1X0.05）；癫痫组抑郁症状213分、焦虑215分及共患ADHD的患儿比例均显著高于对照组，差异均有统计学意义（P〈0・05）。结论：癫痫患儿出现精神异常的比例高于非癫痫患儿，采用各种不同量表均能对癫痫患儿的情绪进行评定，临床对癫痫患儿的诊断与治疗应重视对儿童情绪的控制。【关键词】癫痫；儿童；焦虑；抑郁；情绪；评定；共患病屮图分类号R742.1文献标识码A文章编号1674-6805（2016）15-0004-03[Abstract]Objective：Toexploreth

3、epsychologicaldisordersofchi1drenwithepi1epsythroughdifferentemotionstestsealesinordertoprovidebasisforthediagnosisandtreatmentofchildrenwithepilepsycoinorbidpsychiatricdisorders.Method：Atotalof100childrenwithepi1epsyintheAffi1iatedHospitalofQingdaoUniversityfromSeptember2012toDecember2015w

4、ereselectedastheepilepsygroup.Onehundredcasesofnonepilepticpatientsinourhospitalatthesameperiodwereselectedasthecontrolgroup.Thehamiltonanxietyscale(I1AMA),hamiltondepressionratingscale(HAMD)andanxietyanddepressionscaleforchi1drenwereusedtotesttheepilepticchildren,andtheattentiondeficithype

5、ractivitydisorder(ADHD)wasdiagnosedandrecorded.Result：ThetotalscoresofHAMDandHAMAoftheepilepsygroupweresignificanllyhigherthanthoseofthecontrolgroup,thedifferenceswerestatisticallysignificant(卩〈0.05).TheproportionsofchildrenwithHAMAmorethanorequalto14pointsand11AMDmorethanorequalto20pointsi

6、ntheepilepsygroupwerehigherthanthoseinthecontrolgroup,thedifferenceswerestatisticallysignific且nt(P〈0.05)•Theproportionsofchildrenwithdepressivesymptommorethanorequalto13points，anxietymorethanorequalto15pointsandADHDintheepilepsygroupwerehigherthanthoseinthecontrolgroup,thedifferencesweresta

7、tisticallysignificant(P<0.05).Conclusion：Theproportionofmentaldisordersinchildrenwithepi1epsyishigherthanthatinnonepilepticchildren.Differentkindsofscalescanbeusedtoevaluatetheemotionofchildrenwithepilepsy,andmoreattentionshallbepaidtochildren'semotionin