热性惊厥对儿童持续性注意力影响的研究
- 石冰心,赵亚茹,姜淑萍
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Study on sustained attention in children with a history of febrile seizures
- SHI Bing-xin, ZHAO Ya-ru, JIANG Shu-ping
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文章历史
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摘要
【目的】 探讨热性惊厥(febrile seizures, FS)对儿童注意力的影响。 【方法】 对30例有单纯型热性惊厥(simple febrile seizures, SFS)史、30例有复杂型热性惊厥(complex febrile seizures, CFS)史和30例无热性惊厥史的儿童采用视听整合持续操作测试(integrated visual and auditory continuous performance test, IVA-CPT)进行对比分析。 【结果】 CFS组综合注意商数为83.000±23.199、视觉注意力商数为83.167±23.878、视觉一致性商数为92.250±16.103、视觉警醒商数为79.000±27.330、听觉警醒商数为77.167±29.652和视觉集中商数为95.417±10.975,而正常对照组的上述结果分别为98.947±14.905, 99.632±14.359, 105.605±12.684, 96.895±16.097, 95.632±19.462,和104.947±10.449,两组结果比较差异均有统计学意义(P值均< 0.05) 。SFS组与正常对照组之间各注意力商数差异无统计学意义。CFS组与SFS组仅听觉警醒商数一项差异有统计学意义,余各项商数差异均无统计学意义。 【结论】 复杂型热性惊厥儿童存在反应控制力和持续性注意力的损害,单纯型热性惊厥儿童不存在反应控制力和持续性注意力的损害。
Abstract
【Objective】 To explore the characteristics of sustained attention in children with a history of febrile seizures (FS). 【Methods】 Thirsty children with a history of simple febrile seizures (SFS), 30 children with a history of complex febrile seizures (CFS) and 30 children without a history of FS were assessed using the Integrated Visual and Auditory Continuous Performance Test (IVA-CPT). The quotients among groups were compared. 【Results】 In the CFS group, the combination attention quotient was 83.000±23.199, the visual attention quotient was 83.167±23.878, the visual concordance quotient was 92.250±16.103, the visual vigilance quotient was 79.000±27.330, the auditory vigilance quotient was77.167±29.652, and the visual focus quotient was 95.417±10.975. The quotients in the normal control group were 98.947±14.905, 99.632±14.359, 105.605±12.684, 96.895±16.097, 95.632±19.462, and 104.947±10.449, respectively. The results of the two groups were significantly different (P<0.05). No significant differences were found between the SFS group and normal group in any of the quotients. A significant difference between the CFS group and SFS group was only found in the auditory vigilance quotient: the other quotients were not significantly different. 【Conclusion】 The ability of response control and sustained attention is impaired in children with CFS and not impaired in children with SFS.
关键词
热性惊厥 / 视听整合持续操作测试 / 儿童
Key words
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参考文献
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[2] Lynch M, Sayin U, Bownds J, et al. Long-term consequences of early postnatal seizures on hippocampal learning and plasticity[J]. Eur J Neurosci, 2002,12(7):2252-2264.
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[6] 及春兰,马扬,张锋,等.313例ADHD儿童注意力测评结果分析[J].中国妇幼保健,2008,23(27):3834-3836.
[7] 鲍灵芝,余新艳,王霞.高热惊厥复发危险因素与预后分析[J].宁夏医学杂志,2010,32 (7):633-634.
[8] 吴鸣,陆巧英,陈炳才,等.单纯型热性惊厥患儿脑脊液β2微球蛋白与脑损伤的研究[J].实用中西医结合临床,2006,6(6):32-33.
[9] 杨志仙,秦炯,周国平,等.发育期大鼠高热惊厥脑损伤模型的建立[J].北京大学学报:医学版,2002,34(3):225-228.
[10] Conners CK, Epstein JN, Angold A, et al. Differential measures of ‘sustained attention’ in children with attention-deficit hyperactivity or tic disorders : relations to monoamine metabolism[J]. Psychiatry Res, 2000,93(2):165-178.
[11] Pessoa L, Ungerleider LG. Neuroimaging studies of attention and the processing of emotion-laden stimuli[J]. Prog Brain Res,2004,144:171-182.
[12] 曹庆隽,王华.儿童热性惊厥发作后急性期海马体积改变的临床研究[J].中国当代儿科杂志,2010,12,(4):259-261.
[13] Natsume J,Bernasconi N,Miyauchi M,et al. Hippocampal volumes and diffusion-weighted image findings in children with prolonged febrile seizures[J]. Acta Neurol Scand,2007,115(4):25-28.
[14] Riccio CA,Reynolds CR,Lowe P, et al. The continuous performance test: a window on the neural substrates for attention?[J]. Arch Clin Neuropsychol,2002,17(3):235-272.
[2] Lynch M, Sayin U, Bownds J, et al. Long-term consequences of early postnatal seizures on hippocampal learning and plasticity[J]. Eur J Neurosci, 2002,12(7):2252-2264.
[3] 吴小慧,麦坚凝,杨思渊.热性惊厥影响患儿行为的研究[J].中国实用儿科杂志,2009,24(7):548-551.
[4] 吴启华.小儿神经系统疾病[M].2版.北京:人民卫生出版社,2002:424-434.
[5] 潘学霞,麻宏伟.持续性操作测验在儿童注意缺陷多动障碍诊断及治疗中的应用[J].国际儿科学杂志,2008,36(1):100-102.
[6] 及春兰,马扬,张锋,等.313例ADHD儿童注意力测评结果分析[J].中国妇幼保健,2008,23(27):3834-3836.
[7] 鲍灵芝,余新艳,王霞.高热惊厥复发危险因素与预后分析[J].宁夏医学杂志,2010,32 (7):633-634.
[8] 吴鸣,陆巧英,陈炳才,等.单纯型热性惊厥患儿脑脊液β2微球蛋白与脑损伤的研究[J].实用中西医结合临床,2006,6(6):32-33.
[9] 杨志仙,秦炯,周国平,等.发育期大鼠高热惊厥脑损伤模型的建立[J].北京大学学报:医学版,2002,34(3):225-228.
[10] Conners CK, Epstein JN, Angold A, et al. Differential measures of ‘sustained attention’ in children with attention-deficit hyperactivity or tic disorders : relations to monoamine metabolism[J]. Psychiatry Res, 2000,93(2):165-178.
[11] Pessoa L, Ungerleider LG. Neuroimaging studies of attention and the processing of emotion-laden stimuli[J]. Prog Brain Res,2004,144:171-182.
[12] 曹庆隽,王华.儿童热性惊厥发作后急性期海马体积改变的临床研究[J].中国当代儿科杂志,2010,12,(4):259-261.
[13] Natsume J,Bernasconi N,Miyauchi M,et al. Hippocampal volumes and diffusion-weighted image findings in children with prolonged febrile seizures[J]. Acta Neurol Scand,2007,115(4):25-28.
[14] Riccio CA,Reynolds CR,Lowe P, et al. The continuous performance test: a window on the neural substrates for attention?[J]. Arch Clin Neuropsychol,2002,17(3):235-272.
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