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目的探讨遵医行为对癫癎患儿治疗效果的影响。方法选择39例癫癎患儿,将是否发作作为应变量,选取遵医行为、年龄、性别、病程等作为自变量,采用χ2检验进行单因素分析,对经单因素分析有显著意义的自变量,行多因素Logistic回归分析。结果遵医依从性、发病诱因、病程、既往史、性别等5个因素与癫癎多次发作有显著相关性(P<0.05),其中遵医依从性是最重要的影响因子(OR=5.06 P<0.01)。而年龄、发作时间、发病次数与再次发作无相关关系(P>0.05)。结论遵从医嘱是合理治疗癫癎、预防再发作及减轻不良反应的关键因素。
Objective To investigate the effect of compliance behavior on the treatment of epileptic children. Methods Thirty-nine children with epilepsy were enrolled in this study. Whether the attack was taken as the dependent variable or not, the behavior of compliance, age, sex and duration were selected as the independent variables. The χ2 test was used to analyze the univariate analysis. Independent variables , Multi-factor Logistic regression analysis. Results There were significant correlations between adherence to obesity, incidence predisposing factors, course of disease, past history and sex, and repeated episodes of epilepsy (P <0.05). Compliance was the most important factor (OR = 5.06 P <0.01). There was no correlation between age, onset time, frequency of episodes and relapse (P> 0.05). Conclusion Compliance with doctor’s advice is a key factor in the rational treatment of epilepsy, preventing recurrent attacks and reducing adverse reactions.