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目的研究额叶癫癎患儿注意缺陷多动障碍(ADHD)的患病情况及其相关因素。方法回顾1995—2005在山东大学齐鲁医院诊断为额叶癫癎的21例患儿的医疗记录,并对患儿的ADHD患病情况进行随访研究。结果有效随访17例,额叶癫癎患儿58.8%(10/17)患有ADHD,对癫癎与ADHD患病的相关因素分析表明:脑电图异常放电不易控制的患儿ADHD的发生率为88.9%,与脑电图异常放电控制者(25.0%)相比差异有显著性(P=0.02)。结论额叶癫癎患儿有较高的ADHD发生率,脑电图的持续异常放电与额叶癫癎共患ADHD有关。
Objective To study the prevalence and related factors of attention deficit hyperactivity disorder (ADHD) in children with frontal lobe epilepsy. Methods The medical records of 21 children diagnosed as frontal lobe epilepsy at Qilu Hospital of Shandong University from 1995 to 2005 were retrospectively reviewed. The prevalence of ADHD in children was retrospectively analyzed. Results Effective follow-up of 17 cases, 58.8% (10/17) of children with frontal lobe epilepsy had ADHD. Analysis of related factors of epilepsy and ADHD showed that the incidence of ADHD in children with abnormal EEG abnormal discharge Was 88.9%, which was significantly different from that of EEG abnormal discharge controller (25.0%) (P = 0.02). Conclusion The incidence of ADHD in children with frontal lobe epilepsy is higher than that in patients with frontal lobe epilepsy.