本文選題：伴中央顳區(qū)棘波的兒童良性癲癇　切入點(diǎn)：決策　出處：《安徽醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的探討伴中央顳區(qū)棘波的兒童良性癲癇(Benign epilepsy children with centrotemporal spikes,BECT)患兒風(fēng)險(xiǎn)決策能力。方法采用愛(ài)荷華博弈測(cè)試(Iowa Gambling Task,IGT)和骰子博弈測(cè)試(Game of Dice Test,GDT)對(duì)78例BECT的患兒和75名健康兒童進(jìn)行風(fēng)險(xiǎn)決策能力對(duì)比研究。結(jié)果1、IGT測(cè)試成績(jī)中,BECT組總有利選擇(49.35±5.38)低于健康對(duì)照組(52.24±6.23),差異有統(tǒng)計(jì)學(xué)意義(t=-2.56,P0.05);BECT組凈得分(-1.41±10.60)明顯低于健康對(duì)照組(4.43±11.88),差異有統(tǒng)計(jì)學(xué)意義(t=-3.21,P0.05);兩組在5個(gè)Block上凈得分的單獨(dú)比較結(jié)果顯示,健康對(duì)照組的Block1、Block4和Block5凈得分均明顯高于BECT組(P均0.05)。2、在GDT測(cè)試成績(jī)中,BECT組的凈得分(4.42±7.74)與對(duì)照組(5.49±6.81)相比,差異無(wú)統(tǒng)計(jì)學(xué)意義(t=-0.91,P=0.37)。3、Pearson相關(guān)分析結(jié)果顯示,BECT患兒在IGT、GDT中的凈得分與年齡、發(fā)病年齡、受教育年限、發(fā)作次數(shù)以及發(fā)作持續(xù)時(shí)間均無(wú)顯著相關(guān)性(IGT均|r|0.3,均P0.05;GDT均|r|0.3,均P0.05)。結(jié)論BECT患兒在風(fēng)險(xiǎn)概率明確條件下無(wú)明顯決策能力障礙,而在風(fēng)險(xiǎn)概率不明確條件下存在明顯的決策能力障礙,其決策障礙可能與額葉功能受損相關(guān)。
[Abstract]:Objective to investigate the risk decision-making ability of children with benign epilepsy children with centrotemporal spikestick (BECT) with central temporal spikelet. Methods 78 children with BECT and 75 healthy controls were treated by Iowa Gambling TaskIGT and Dice Game of Dice Test GDTs. Results 1 in IGT test group, the total favorable choice was 49.35 鹵5.38), which was significantly lower than that in healthy control group (52.24 鹵6.23), and the difference was statistically significant (P 0.05 0. 06). The net score of BECT group was significantly lower than that of healthy control group (4.43 鹵11.88), which was significantly lower than that of healthy control group (4.43 鹵11.88). The net scores of the two groups on 5 Block were compared separately. The net scores of Block1Block4 and Block5 in the healthy control group were significantly higher than those in the BECT group (P < 0.05), and the net score in the GDT test group was 4.42 鹵7.74), which was not significantly different from that in the control group (5.49 鹵6.81). There was no significant correlation between the age of onset, the years of education, the number of episodes and the duration of attack. All patients with BECT had no significant decision ability disorder under the condition of definite risk probability. Under the condition of uncertain risk probability, there are obvious decision ability disorders, which may be related to frontal lobe dysfunction.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R742.1

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