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目的探讨影响首诊原发性癫痫儿童智能损害的临床相关因素。方法 40例癫痫儿童作为癫痫组;同期选取30例健康儿童作为健康对照组。采用智力量表(C-WISC)进行测评,分析其影响因素。结果癫痫组的语言智商(VIQ)、操作智商(PIQ)和总智商(FIQ)、知识指标明显低于健康对照组(P<0.05)。结论原发性癫痫患儿的发作类型、发作频率等会对患儿的智能产生不同程度的影响,因此发病早期宜及时完全地控制发作并进行认知功能康复和教育。
Objective To investigate the clinically relevant factors that affect the first diagnosis of primary epilepsy in children with intellectual impairment. Methods Forty children with epilepsy were selected as epilepsy group. Thirty healthy children were selected as healthy control group. Using Intelligence Scale (C-WISC) for evaluation, analysis of its influencing factors. Results VIQ, PIQ and FIQ in epilepsy group were significantly lower than those in healthy control group (P <0.05). Conclusions The type of seizure and the frequency of seizures in children with primary epilepsy may affect children’s intelligence to varying degrees. Therefore, the onset of the disease should be completely and timely control of seizures and cognitive rehabilitation and education.