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目的:探讨影响癫(疒间)患者智力状况的主要因素。方法:用韦氏儿童智力量表(WISC-CR)和韦氏成人智力量表(WAIS-RC)对205名5~60岁的癫(疒间)患者进行智力测试并对结果与影响智力的因素进行分析。结果:癫(疒间)患者FIQ均分为87.74±23.67,智力低下者为20%。逐步回归分析提示影响患者语言智商(VIQ)的主要因素依次为文化程度低、低年龄、无职业、有脑病史及药物治疗效果差;影响患者操作智商(PIQ)依次为文化程度低、无职业者、低年龄、有脑病史及治疗效果差;影响患者总智商(IQ)依次为文化程度低、有脑病史、低年龄、病程久、治疗效果差及无职业者。从回归分析可以看出,文化程度对言语智商和总智商影响最大。而有无脑病史对操作智商受影响最大。结论:癫(疒间)患者易发生智力减退,且智力减退受多种因素的影响。
Objective: To explore the main factors influencing the mental status of epileptic patients. Methods: 205 Wistar children’s mental capacity scale (WISC-CR) and Webster adult intelligence scale (WAIS-RC) were used to test the intelligence of 205 epileptic patients between 5 and 60 years old. Factors for analysis. Results: There were 87.74 ± 23.67 FIQs in epileptic patients and 20% in those with mental retardation. The stepwise regression analysis indicated that the main factors influencing VIQ were low educational level, low age, no occupation, history of encephalopathy and poor efficacy of drug treatment. The influencing factors of patients’ PIQ were low educational level and no occupation The patients with low age had a history of cerebral disease and the treatment effect was poor. The total IQ (IQ) of affected patients was low education level, history of encephalopathy, low age, long duration of disease, poor treatment and no occupation. From the regression analysis, we can see that the educational level has the greatest influence on speech IQ and total IQ. And no history of brain disease is most affected by the operation of IQ. Conclusion: Epilepsy patients often suffer from mental retardation, and mental retardation is influenced by many factors.