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目的 研究全身性强直阵挛发作 (GTCS)癫痫患儿的心理状态及影响因素、并给予干预措施。方法 应用癫痫患儿生活质量量表对 146例GTCS患儿进行心理评估 ,分析影响因素 ;并通过癫痫科普知识讲座和个别咨询相结合的方法对GTCS患儿进行心理干预。结果 ① 6 5 1% (95 / 146 )的GTCS患儿存在心理障碍 ,主要表现为对发作及药物副作用的担忧、生活满意度低、情绪和精力差、认知功能及社会能力低下 ;与正常儿童相比除生活满意度无显著性差异外 ,其余各项及生活质量总分均显著低下 ,P <0 0 5或 <0 0 1。②智商、药物治疗及检测年龄对心理状态有明显影响。③干预后患儿心理状态明显改善 ,有各项心理障碍者的例数由干预前的 6 4% (5 7/ 89)～ 92 1%(82 / 89)分别减少至干预后的 2 1 3% (19/ 89)～ 5 1 7% (4 6 / 89) ,前后对比差异极为显著 ,P均 <0 0 1。未经干预患儿的心理状态无显著改善。结论 癫痫患儿存在心理障碍 ,抗癫痫药物和心理治疗不能相互替代 ,只有二者的综合治疗才是有效控制发作、改善患儿心理状态、提高患儿生活质量的根本途径
Objective To study the psychological status and its influencing factors in children with generalized tonic-clonic seizure (GTCS) epilepsy and to provide interventions. Methods A total of 146 children with GTCS were assessed with psychological quality of life questionnaire, and the influencing factors were analyzed. Psychological intervention was given to children with GTCS through a combination of general knowledge of epilepsy and individual counseling. Results ① 651 (95/146) children with GTCS had psychological problems, which were mainly related to seizure and drug side effects, low life satisfaction, poor mood and energy, low cognitive function and social ability. Compared with normal In addition to the children’s life satisfaction was no significant difference, the remaining items and quality of life scores were significantly lower, P <0 0 5 or <0 0 1. ② IQ, medication and detection of age have a significant impact on the psychological state. ③ After the intervention, the psychological status of children was significantly improved. The number of patients with various mental disorders decreased from 64% (57/89) to 92.1% (82/89) before intervention to 21.3% after intervention % (19/89) ~ 51.7% (46/89), the difference between before and after the contrast was significant (P <0.01). No significant improvement in the psychological status of children without intervention. Conclusion There are psychological disorders in children with epilepsy, antiepileptic drugs and psychotherapy can not replace each other, only the combination of the two is the effective way to control seizures, improve children’s psychological status and improve children’s quality of life of the fundamental way