【摘要】：目的：通過韋氏智力測試了解癲癇患兒智力結(jié)構(gòu)狀況及其影響因素。 方法：應用中國-韋氏兒童智力測驗量表對20名癲癇患兒及20名正常兒童進行測驗，對入選兒童進行基本資料收集，對其結(jié)果進行統(tǒng)計分析。 結(jié)果：癲癇組與對照組在性別、年齡及養(yǎng)育背景方面相似（p0.05），，癲癇組的智力等級分布與對照組無顯著差異性（p0.05），癲癇組的智力等級分布比率與人群中的理論分布比率無顯著差異性（p0.05），癲癇組兒童的言語智商（VIQ），操作智商（PIQ）及總智商（FIQ）均低于對照組,差異顯著（p0.05）,癲癇組與對照組兒童智力結(jié)構(gòu)不平衡性無統(tǒng)計學差異（p0.05），癲癇組在智力測驗各分測驗中的分數(shù)（除編碼項外）明顯低于對照組兒童，具顯著差異（p0.05），癲癇組腦電圖所示癲癇波顯著部位與韋氏智力測試各分量表弱點（與平均分比較）具相關(guān)性，其中癲癇患兒腦電圖所示癲癇波顯著部位為顳區(qū)，頂顳區(qū)的弱點集中在填圖項（72.7%，4.75±0.886）。通過多重線性回歸分析，癲癇患兒的FIQ值與起病的年齡，期望值，社會退縮行為密切相關(guān)（p0.05）。 結(jié)論：1、輕度的認知功能障礙沒有使癲癇患兒與正常兒童在智力結(jié)構(gòu)上有所差別.。2、良性部分性癲癇患兒與正常兒童智力結(jié)構(gòu)的不平衡性相似，言語智商優(yōu)于操作智商。3、癲癇患兒智力水平及各種能力水平比正常兒童低。4、癲癇患兒腦電圖所示癲癇波顯著部位可以影響癲癇患兒各種能力的弱點。5、癲癇患兒癲癇疾病的類型，發(fā)病的年齡，發(fā)病的頻率，發(fā)作的形式，發(fā)作持續(xù)的時間，治療用藥的效果影響患兒的認知功能，尤以發(fā)病的年齡影響最密切。6、癲癇患兒的受教育程度，期望值，社會退縮行為影響患兒的認知功能，尤以期望值，社會退縮行為影響密切。7、對癲癇患兒進行規(guī)范化治療，重視社會心理因素對癲癇患兒認知的影響，積極早期干預，早期特殊教育，早期技能訓練，改善患兒的生活質(zhì)量。8、需要擴大樣本量針對不同類型癲癇患兒探討韋氏智力測試各分測驗所負荷的智力因素的受損情況，進行有效干預。
[Abstract]:Objective: to investigate the intelligence structure and its influencing factors of epileptic children by Wechsler intelligence test. Methods: 20 epileptic children and 20 normal children were tested by China Wechsler Children Intelligence scale. The basic data of the children were collected and the results were statistically analyzed. Results: the sex of epileptic group and control group, Age and parenting background were similar (p0.05). There was no significant difference in intelligence grade distribution between epileptic group and control group (p0.05). There was no significant difference in intelligence grade distribution ratio between epileptic group and theoretical distribution ratio in population (p0.05). Children's speech in epileptic group was similar (p0.05). Language IQ (VIQ), operational IQ (PIQ) and total IQ (FIQ) were lower than those in control group. The difference was significant (p0.05). There was no significant difference in the intelligence structure imbalance between the epileptic group and the control group (p0.05). The scores of the epileptic group in the intelligence test were significantly lower than those in the control group (except the coding item). There was significant difference (p0.05). The significant part of epileptic wave in epileptic group was correlated with the weakness of Wechsler intelligence test subscale (compared with average score), and the significant part of epileptic wave in epileptic children was temporal region. The weakness of parietal and temporal region was mainly in the mapping item (72.7 鹵0.886). By multiple linear regression analysis, the FIQ of epileptic children was closely correlated with onset age, expectation and social withdrawal behavior (p0.05). Conclusion: the mild cognitive impairment does not make the intelligence structure of children with epilepsy different from that of normal children. The intelligence structure of benign partial epilepsy children is similar to that of normal children. The intelligence level and ability of epileptic children were lower than that of normal children. The significant part of epileptic wave in epileptic children could influence the weakness of epilepsy children's various abilities, and the type of epileptic diseases in epileptic children. The age of onset, frequency of onset, form of attack, duration of seizure, the effect of treatment and medication affect the cognitive function of children, especially the age of onset, the education level and expectation of epileptic children, The behavior of social withdrawal affects the cognitive function of the children, especially the expected value, the social withdrawal behavior has a close influence on the children with epilepsy, the children with epilepsy are treated standardized, the influence of the social psychological factors on the cognition of the children with epilepsy is emphasized, and the early intervention is positive. Early special education, early skill training, improving the quality of life of children. 8. The need to expand the sample size to explore the different types of epilepsy children Wechsler intelligence test load of intelligence factors damage, effective intervention.
【學位授予單位】：大連醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R742.1

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