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目的 了解治疗中的在学癫痫儿童之学习状况和升学概况。方法 随机收集规则治疗并随访的癫痫在学儿童资料(1980 ~1995 年)500 名,所有患儿均接受抗癫痫药物治疗3 年以上,并随访其发作情况及学习情况。包括小学阶段500名及其后升入初中阶段100 名的学习情况;此外另调查100 名儿童初中毕业后去向。结果 最终能完成小学阶段学习的癫痫儿童共477 名(95.4 %) ;癫痫组与健康组儿童小学成绩因前者留级人次较多而有显著差异(P<0 .05) ;100 名初中毕业儿童中有62 人升入高中。在学癫痫儿童经治疗一年内能控制发作者占68 % ,其中部分儿童学习良好。结论 上述研究结果对癫痫儿童及与之相关的社会人群鼓舞很大。对这一慢性、发作性疾病儿童的疾病控制、学习问题和心理特征方面需予特殊关注,以有效改善学习状况,利于今后的择业和生活质量。
Objective To understand the learning status and progression of children with epilepsy in treatment. Methods Randomly collected 500 children with epilepsy who were enrolled in the regular treatment and follow-up of epilepsy (1980-1995). All children were treated with antiepileptic drugs for more than 3 years and their seizures and learning were followed up. Including 500 in the primary school stage and 100 in the junior secondary stage. In addition, another 100 children were investigated after they graduated from junior high school. Results A total of 477 epileptic children (95.4%) were able to complete primary school. There was a significant difference (P <0 .05) in primary school grades of children with epilepsy and healthy children 62 of the children have moved to high school. Children in learning epilepsy within one year after treatment can control the authors accounted for 68%, of which some children study well. Conclusion The above findings are of great encouragement for children with epilepsy and related social groups. Special attention should be paid to the disease control, learning problems and psychological characteristics of children with this chronic and episodic disease in order to effectively improve the learning situation and benefit the future career and quality of life.