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影响原发性癫痫患者发生认知功能障碍的危险因素分析

刘建光 姜红梅 王峥 刘忠志 雷靖安 韩琦 周玉涛 郭晓红 贺细菊

神经损伤与功能重建2017,Vol.12Issue(1):34-36,3.
神经损伤与功能重建2017,Vol.12Issue(1):34-36,3.DOI:10.16780/j.cnki.sjssgncj.2017.01.010

影响原发性癫痫患者发生认知功能障碍的危险因素分析

Risk Factors of Cognitive Dysfunction in Patients with Primary Epilepsy

刘建光 1姜红梅 2王峥 3刘忠志 3雷靖安 3韩琦 3周玉涛 3郭晓红 3贺细菊4

作者信息

  • 1. 武汉市第三医院(武汉大学附属同仁医院)神经内科 武汉443000
  • 2. 湖北医药学院附属东风医院消化内科 湖北十堰442008
  • 3. 湖北医药学院附属东风医院神经内科 湖北十堰442008
  • 4. 湖北医药学院 湖北十堰442000
  • 折叠

摘要

Abstract

Objective:To analyze the risk factors of cognitive dysfunction in patients with primary epilepsy.Methods:The cognitive dysfunction of one hundred cases with primary epilepsy (study group) and 50 healthy controls (control group) were evaluated by Wechsler Adult Intelligence Scale scale (WAIS-RC) cognitive function test.The related factors affecting the cognitive function were analyzed by single factor analysis and multiple linear stepwise regression analysis.Results:The scores of knowledge,comprehension,arithmetic and other 11 parameters scored in the cognitive function test of the study group were significantly lower than those in the control group (P<0.001).Verbal IQ (VIQ) scores,performance IQ (PIQ) scores and full scale IQ (FIQ) in the study group were significantly lower than those in the control group (P<0.001).Correlation analysis showed that FIQ and education,physical quantity,time of onset and seizure duration were significantly correlated with the injury(R=0.611).VIQ was significantly related to education and the number of anti-epileptic drugs (R=0.619).The PIQ was significantly related to time of onset,age,the number of antiepileptic drugs and education (R=0.571).Conclusion:The incidence of cognitive dysfunction in patients with primary epilepsy is significantly related to the degree of education,age,duration of disease,the number of antiepileptic drugs,and the duration of attacks.

关键词

原发性癫痫/认知功能障碍/危险因素

Key words

primary epilepsy/cognitive dysfunction/risk factors

分类

医药卫生

引用本文复制引用

刘建光,姜红梅,王峥,刘忠志,雷靖安,韩琦,周玉涛,郭晓红,贺细菊..影响原发性癫痫患者发生认知功能障碍的危险因素分析[J].神经损伤与功能重建,2017,12(1):34-36,3.

基金项目

湖北省教育厅科学技术研究项目(No.B2014053) (No.B2014053)

神经损伤与功能重建

OACSTPCD

1001-117X

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