血清维生素D水平与伴中央颞区棘波的儿童良性癫痫共患注意缺陷多动障碍患儿认知功能的相关性分析

doi:10.11852/zgetbjzz2021-1676

中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (7): 775-778.DOI: 10.11852/zgetbjzz2021-1676

血清维生素D水平与伴中央颞区棘波的儿童良性癫痫共患注意缺陷多动障碍患儿认知功能的相关性分析

房海波¹, 王荣¹, 褚琳娜¹, 冯艳芳¹, 白容荣¹, 郭丰桐²

1.沧州市人民医院儿科,河北沧州 061000;
2.沧州市人民医院妇产科

收稿日期:2021-11-08 修回日期:2022-03-04 发布日期:2022-07-25 出版日期:2022-07-10
通讯作者: 王荣,E-mail:czhwr@163.com
作者简介:房海波(1986-),女,河北人,主治医师,硕士研究生,主要研究方向为儿童神经电生理(肌电图、诱发电位、脑电图)。
基金资助:
河北省沧州市科技计划重点研发计划项目(204106037)

Correlation between cognitive function and serum vitamin D level in children with benign epilepsy with centrotemporal spikes co-morbid with attention deficit hyperactivity disorder

FANG Hai-bo^*, WANG Rong, CHU Lin-na, FENG Yan-fang, BAI Rong-rong, GUO Feng-tong

^*Department of Pediatrics, Cangzhou People's Hospital, Cangzhou, Heibei 061000, China

Received:2021-11-08 Revised:2022-03-04 Online:2022-07-10 Published:2022-07-25
Contact: WANG Rong, E-mail: czhwr@163.com

摘要/Abstract

摘要： 目的分析伴中央颞区棘波的儿童良性癫痫(BECT)共患注意缺陷多动障碍(ADHD)患儿认知功能改变与血清VitD表达变化的相关性,为临床上此类患儿认知损害的预防和治疗提供新思路、新方法。方法收集2020年1月—2021年8月初次诊断的BECT共患ADHD患儿80例为研究对象,并选取同期儿保门诊体检的同龄儿童70例为对照组。采用WISC-Ⅳ评价两组儿童的认知功能,应用电化学发光法检测两组儿童血清VitD的表达水平,并将儿童血清VitD水平与WISC-Ⅳ的各项分值进行 Spearman 相关性分析。结果与对照组比较,BECT共患ADHD组血清VitD总体水平及VitD水平正常组的VitD水平明显降低(t=4.98、8.56,P<0.05),WISC-Ⅳ结果显示,与对照组比较,BECT共患ADHD组VCI、PRI、WMI、PSI和FSIQ分值明显降低(t=12.38、17.84、13.67、11.20、15.17,P<0.05),且BECT共患ADHD组维生素D正常组、不足组和缺乏组3个亚组的VCI、PRI、WMI、PSI及FSIQ分值较对照组相应3个亚组分值明显降低(t=9.28、6.74、5.37、14.80、7.67、8.48、11.64、5.42、6.40、7.23、8.16、4.92、11.50、8.01、6.41,P<0.05)。Spearman 相关性分析显示,BECT共患ADHD患儿血清VitD水平与VCI、PRI及FSIQ分值成正相关(r=0.272、0.276、0.225,P<0.05),而与WMI、PSI分值无相关性(r=0.154、0.160,P>0.05)。结论 BECT共患ADHD患儿可出现认知功能受损,同时其血清VitD水平降低,且与部分认知功能改变成正相关。

关键词: 伴中央颞区棘波的儿童良性癫痫, 注意缺陷多动障碍, 认知功能, 维生素D

Abstract: Objective To analyze the correlation between cognitive function and serum vitamin D(VitD) level in children with benign epilepsy with centrotemporal spikes (BECT) co-morbid with attention deficit hyperactivity disorder (ADHD), in order to provide new ideas for the prevention and treatment of the cognitive impairment for these children. Methods Eighty BECT co-morbid with ADHD children who were first diagnosed from January 2020 to August 2021 were selected as the study subjects, meanwhile seventy children with the same age who underwent physical examination were enrolled into the control group. WISC-Ⅳ was used to evaluate the cognitive function of the children in two groups. Serum VitD level was detected by elecsys. Spearman correlation analysis was adopted between serum VitD level and the scores of WISC in the two groups. Results Compared with the control group, serum VitD overall level and VitD level of the subgroup with normal VitD level in children of BECT co-morbid with ADHD group were significantly lower (t=4.98, 8.56, P<0.05). In terms of WISC-Ⅳ assessment, the VCI,PRI,WMI,PSI and FSIQ scores of BECT co-morbid with ADHD group were significantly lower than those of control group(t=12.38, 17.84, 13.67, 11.20, 15.17, P<0.05). And the scores of VCI, PRI, WMI, PSI and FSIQ in the three subgroups of BECT co-morbid with ADHD group were significantly lower than those in the control group (t=9.28, 6.74, 5.37, 14.80, 7.67, 8.48, 11.64, 5.42, 6.40, 7.23, 8.16, 4.92, 11.50, 8.01, 6.41, P<0.05). Spearman correlation analysis showed that serum VitD level was positively correlated with VCI, PRI and FSIQ scores in children with BECT and co-morbid with ADHD (r=0.272, 0.276, 0.225, P<0.05), but not significantly correlated with WMI and PSI scores (r=0.154, 0.160, P>0.05). Conclusion Children with BECT and co-morbid with ADHD may have impaired cognitive function, and their serum VitD level is decreasing, which is correlated with the change of partial cognitive function.

Key words: benign childhood epilepsy with centrotemporal spikes, attention deficit hyperactivity disorder, cognitive function, vitamin D

中图分类号:

房海波, 王荣, 褚琳娜, 冯艳芳, 白容荣, 郭丰桐. 血清维生素D水平与伴中央颞区棘波的儿童良性癫痫共患注意缺陷多动障碍患儿认知功能的相关性分析[J]. 中国儿童保健杂志, 2022, 30(7): 775-778.

FANG Hai-bo, WANG Rong, CHU Lin-na, FENG Yan-fang, BAI Rong-rong, GUO Feng-tong. Correlation between cognitive function and serum vitamin D level in children with benign epilepsy with centrotemporal spikes co-morbid with attention deficit hyperactivity disorder[J]. Chinese Journal of Child Health Care, 2022, 30(7): 775-778.

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血清维生素D水平与伴中央颞区棘波的儿童良性癫痫共患注意缺陷多动障碍患儿认知功能的相关性分析

Correlation between cognitive function and serum vitamin D level in children with benign epilepsy with centrotemporal spikes co-morbid with attention deficit hyperactivity disorder

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