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时间:2020-03-12
《癫痫儿童焦虑抑郁情绪的评定与共患病临床研究.doc》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
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
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