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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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.
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References
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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.
[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.
