本文選題：癲癇　切入點(diǎn)：焦慮　出處：《青島大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:通過不同焦慮抑郁情緒及多動測試量表,探討癲癇患兒焦慮抑郁及多動問題,為癲癇兒童共患精神疾病的診斷與治療提供依據(jù)。方法:選取2012年9月-2015年12月期間在濟(jì)南市第四人民醫(yī)院收治的確診為癲癇的兒童(未系統(tǒng)抗癲癇藥物治療)共113例,作為癲癇組;選取同期來醫(yī)院就診治療的非癲癇兒童97例,均為非神經(jīng)系統(tǒng)疾病(排除慢性疾病的患兒如血液疾病,心臟病、免疫性疾病等),作為對照組。采用漢密爾頓焦慮量表(HAMA)、漢密爾頓抑郁量表(HAMD)及專門針對兒童的兒童焦慮性情緒障礙篩查表(SCARED)和兒童抑郁障礙自評量表(DSRSC)對癲癇兒童進(jìn)行測試,并且對注意力缺陷多動癥(ADHD)量表測定,為兒童癲癇與情緒精神異常的關(guān)系提供參考。結(jié)果:1.癲癇組患兒的HAMA及HAMD總分分別為10.49±2.48分、16.02±2.77分,對照組患兒的HAMA及HAMD總分分別為6.89±1.05分、9.68±1.68分,癲癇組患兒的焦慮、抑郁情緒評分HAMA及HAMD總分均顯著高于對照組患兒,均有統(tǒng)計學(xué)差異(P0.05)。2.癲癇組患兒HAMA總分≥14分(評分超過14分,患兒肯定有焦慮)患兒的比例為41%,顯著高于對照組患兒12%,癲癇組患兒HAMD總分≥20分(評分超過20分,患兒肯定有抑郁癥)患兒的比例為52%,顯著高于對照組患兒15%,均有統(tǒng)計學(xué)差異(P0.05)。3.癲癇組兒童抑郁障礙自評量表和兒童焦慮性情緒障礙篩查表顯示患兒出現(xiàn)抑郁癥狀≥13分患兒比例為24%,顯著高于對照組患兒15%,出現(xiàn)焦慮≥15分患兒比例為21%,顯著高于對照組患兒13%,共患ADHD患兒比例為28%,顯著高于對照組患兒20.4%,均有統(tǒng)計學(xué)差異(P0.05)。4.癲癇組患兒采用HAMA評分診斷兒童焦慮情緒障礙的比例為41%,顯著高于兒童焦慮性情緒障礙篩查表的21%,癲癇組患兒采用HAMD評分診斷兒童抑郁情緒障礙的比例為52%,顯著高于兒童抑郁障礙自評量表測試的24%,均有統(tǒng)計學(xué)差異(P0.05)。結(jié)論:癲癇兒童出現(xiàn)抑郁、焦慮、多動等情緒行為障礙的比例明顯高于非癲癇兒童,采用漢密爾頓焦慮量表(HAMA)、漢密爾頓抑郁量表(HAMD)及專門針對兒童的兒童焦慮性情緒障礙篩查表、兒童抑郁障礙自評量表以及注意力缺陷多動癥量表都可以對癲癇兒童焦慮抑郁等情緒行為障礙進(jìn)行評定,但是漢密爾頓焦慮量表(HAMA)、漢密爾頓抑郁量表(HAMD)對癲癇兒童出現(xiàn)抑郁、焦慮、多動等情緒行為障礙的診斷率遠(yuǎn)高于單純用兒童焦慮性情緒障礙篩查表、兒童抑郁障礙自評量表,降低漏診率。同時臨床對癲癇兒童的診斷與治療應(yīng)重視對兒童情緒的控制。
[Abstract]:Objective: to explore the anxiety, depression and hyperactivity problems in children with epilepsy by using different anxiety and depression and hyperactivity scale. Methods: from September 2012 to December 2015, 113 children (without systemic antiepileptic therapy) who were admitted to Jinan 4th people's Hospital were selected. As epilepsy group, 97 cases of non-epileptic children who were treated in hospital during the same period were all non-nervous system diseases (excluding chronic diseases such as blood disease, heart disease, etc.). Immune diseases were used as control group. Children with epilepsy were tested with Hamilton anxiety scale (Hamilton anxiety scale), Hamilton Depression scale (Hamilton Depression scale), screening form (SCAREDD) and Self-Rating scale (DSRSCC) for Children with anxiety mood Disorder. The results showed that the total scores of HAMA and HAMD in children with epilepsy were 10.49 鹵2.48 and 16.02 鹵2.77, respectively. The total scores of HAMA and HAMD in the control group were 6.89 鹵1.05 and 9.68 鹵1.68, respectively. The total scores of anxiety, depression and HAMD in the epileptic group were significantly higher than those in the control group (P < 0.05). The total score of HAMA in the epileptic group was more than 14 (the score was more than 14). The proportion of children with anxiety was 41, significantly higher than that of control group. The total score of HAMD in epilepsy group was more than 20 points (score more than 20 points). The proportion of children with depressive disorder was 52, which was significantly higher than that of control group (P 0.05). 3. The self-rating scale of depressive disorder and the screening form of anxiety mood disorder in epilepsy group showed that the children had depressive symptoms. The proportion of children with ADHD 鈮，

本文編號：1609400