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目的:探讨癫痫患者的认知功能障碍及其生活质量水平,为早期防治癫痫疾病提供依据。方法:将确诊的60例癫痫患者作为病例组,同时以60例健康体检者为对照组,分别采用认知功能障碍和生活质量量表测评,比较两组的认知功能评分、认知功能障碍率、生活质量评分等。结果:癫痫组的图形理解能力、类比能力、图形变化能力、图形排列能力、综合分析能力等维度评分均低于对照组(P<0.01);癫痫组的认知功能缺陷率高达31.7%,明显高于对照组的1.7%(P<0.01);癫痫组患者的发作担忧维度、生活满意度维度、情绪健康维度、精力情况维度、认知功能维度、药物影响维度、社会功能维度及QOL总分等均低于对照组(P<0.01)。结论:癫痫患者的认知能力水平较低,认知功能障碍程度较为严重,引起患者的生活质量水平下降,应引起临床医护人员的高度重视。
Objective: To investigate the cognitive dysfunction and quality of life in patients with epilepsy, and provide the basis for the prevention and treatment of epilepsy in the early stage. Methods: Sixty patients with epilepsy were selected as the case group. Sixty healthy subjects were used as the control group. The cognitive dysfunction and quality of life scale were used to evaluate the cognitive function scores and cognitive dysfunction Rate, quality of life score and so on. Results: The dimensions of epilepsy group were lower than that of the control group (P <0.01). The cognitive deficits in epilepsy group were as high as 31.7% (P <0.01). There was no significant difference between the epilepsy group and the control group (P <0.01). The incidence anxiety, life satisfaction, emotional health, energy status, cognitive function, drug impact dimension, social function dimension and QOL score Were lower than the control group (P <0.01). Conclusion: Epilepsy patients with low cognitive ability, cognitive impairment is more serious, causing the patient’s quality of life decline, should be caused by clinicians attach great importance.