ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2020, Vol. 12 ›› Issue (2): 151-153.doi: 10.3969/j.issn.1674-3865.2020.02.016

• 临床研究 • 上一篇    下一篇

癫痫儿童生活质量相关性研究

张存玲，朱太卿   

  1. 450003 郑州，郑州人民医院神经内科
  • 出版日期:2020-04-25 发布日期:2021-05-17
  • 通讯作者: 张存玲，E-mail:13526865624@163.com
  • 作者简介:张存玲（1983-），女，主治医师。研究方向：儿童的癫痫诊治

Study on quality of life of children with epilepsy

  • Online:2020-04-25 Published:2021-05-17

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摘要： 目的 研究癫痫儿童生活质量及相关因素。
方法 选择2016年1月至2018年1月在我院神经内科及儿科诊治的癫痫患儿75例为观察组，同期健康体检的儿童76例为对照组。对两组儿童进行生活质量评定，评定问卷使用癫痫患儿生活质量问卷(QOLCE)，记录两组儿童父母的年龄、家庭收入、父母的学历，同时记录癫痫儿童的起病年龄、癫痫发作类型、病程、服药种类、近半年发作频率。比较观察组与对照组儿童在生活质量上有无差异，同时对这些因素与儿童生活质量的相关性进行分析。
结果 观察组患儿QOLCE评分低于对照组，差异有统计学意义（P<0.05）。两组儿童父母在年龄、受教育水平、家庭收入方面比较差异无统计学意义（P>0.05）。癫痫儿童QOLCE评分与父母学历、起病年龄、家庭收入无明显相关性，与发作频率、服用抗癫痫药物种类、癫痫病程明显负相关，与发作类型相关。
结论 临床上尽量减少服用抗癫痫药物种类，减少发作频率，控制癫痫发作；增强癫痫患儿及家属对癫痫的认识，提高癫痫患儿生活质量。

关键词: 癫痫, 生活质量, 儿童

Abstract: Objective To study the quality of life of children with epilepsy and what factors affect it.Methods Totally 75 children with epilepsy treated in the Department of Neurology and Department of Pediatrics of the People′s Hospital of Zhengzhou from January 2016 to January 2018 were randomly selected as the experimental group，At the same time normal children undergoing physical examination in the People′s Hospital of Zhengzhou were included as the control group.Quality of Life in Childhood Epilepsy(QOLCE) was used to assess the quality of life of children in the two groups.Their parents′ age,family income and parents′ education were recorded.At the same time,the age of onset,type of seizure,course of disease,type of medication and frequency of seizure in the recent half year were recorded.The difference in quality of life between the experimental group and the control group was compared,and the correlation between these factors and children′s quality of life was analyzed.Results The QOLCE score of the experimental group was lower than that of control group(P<0.05).There was no statistical difference between the parents of the two groups in age,educational background or family income(P>0.05).The QOLCE score of epileptic children had no significant correlation with their parents′ educational background,age of onset or family income,but was significantly negatively correlated with the frequency of seizures,the type of antiepileptic drugs taken and the course of epilepsy,and was correlated with the type of seizures.Conclusion In order to improve the quality of life of children with epilepsy,we need to reduce the types of antiepileptic drugs clinically used,reduce the frequency of seizures,control seizures,and enhance the understanding of epilepsy in the children with epilepsy and their parents.

Key words: Epilepsy, Quality of life, Children