目的 分析热性惊厥(febrile seizures,FS)儿童学龄期的智力水平和智力结构状况。方法 采用中国韦氏儿童智力量表(China Wechsler Intelligence Scale of Children,C-WISC)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34例无热性惊厥史的正常健康儿童进行智商测定,并对其智力结构进行分析。结果 SFS组、CFS组和对照组的总智商(full intelligence quotient,FIQ)、言语智商(verbal IQ,VIQ)、操作智商(performance IQ,PIQ),差异均无统计学意义(P>0.05)。CFS组与对照组比较,编码及分类差异有统计学意义(F=3.169,2.967,P均<0.05),两组智商中的记忆/注意因子(M/C)差异有统计学意义(F=3.082,P<0.05)。SFS组、CFS组分别与对照组比较,VIQ与FIQ平衡性测试(差值)结果比较差异有统计学意义(χ²=4.099,6.461,P<0.05)。 结论 FS儿童的总体智力水平正常,但智力结构不平衡,CFS儿童记忆/注意因子(M/C)存在一定缺陷,提示CFS儿童可能存在与记忆、注意相关的脑功能损害。

Objective To explore the characteristics of the intelligence level and structure in school-aged children with a history of febrile seizures (FS). Methods Thirty children with a history of simple febrile seizures (SFS),30 children with a history of complex febrile seizures (CFS) and 34 children without a history of FS were assessed using China Wechsler Intelligence Scale of Children(C-WISC).The scores among groups were compared.Results The full intelligence quotient (FIQ),verbal IQ (VIQ) and performance IQ (PIQ) in the SFS and CFS group were in normal ranges and did not different from the normal group.There were significant differences in the scores for coding,similarities and M /C factor between the CFS group and normal group (F=3.169,2.967,3.082,P<0.05).There was significantly different in balancing tests of three groups (χ²=4.099,6.461,P<0.05). 【Conclusions】 It is normal in the total intelligence level of FS children,but there are imbalances in the intelligence structure.The M /C factor of CFS children have some defects and CFS children might be brain dysfunction associated with memory and attention.