文章摘要
朱遂强,唐敏,罗利俊,阮旭中.癫痫患者的认知功能状况及其影响因素分析[J].中华物理医学与康复杂志,2003,(4):.-
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癫痫患者的认知功能状况及其影响因素分析
  
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中文关键词: 癫痫  认知功能
英文关键词: Epilepsy  Cognitive function
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朱遂强,唐敏,罗利俊,阮旭中 430030武汉华中科技大学同济医学院附属同济医院神经内科 
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中文摘要:
      目的了解癫痫患者的认知功能状况及其影响因素。 方法使用瑞文标准推理测验(SPM)对51名癫痫患者进行认知功能测定,并对其影响因素做逐步回归分析。 结果成人癫痫患者组智力缺陷者占33.3%,儿童癫痫患者组智力缺陷者占25.9%,其分布与正常对照组相比差异具有显著性意义(P<0.01)。对分测验进一步分析,癫痫患者B、E分量表得分显著低于正常对照组(P<0.05)。癫痫患者的认知功能状况与起病年龄、发作持续时间显著相关。 结论本次研究发现,约30%的癫痫患者有认知功能缺陷,在有认知功能缺陷的患者中,以抽象概念形成能力和类比能力受损最为明显。
英文摘要:
      Objective To observe the cognitive function of epileptic patients and the factors that affect it. MethodsThe cognitive function of 51 epileptic patients was evaluated by means of Raven' s Standard Progressive Matrices SPM, and the related factors explored by progressive regression analysis. ResultsIn the adults group, about 33.3% patients had cognitive deficits, and that is 25.9% in the children group, which is significantly different from that of the control group (P<0.01). For patients with cognitive deficits, their scores of analog, analytic and abstract abilities were significantly different from those in the control group(P<0.05). The factors related to the cognitive function of epileptic patients were the age of the patient, the onset of illness, and the duration of seizures. ConclusionAbout 30% of the epileptic patients had cognitive function deficit. Among them, the ability of analog, analysis and abstract were the mostly affected.
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