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目的研究癫痫儿童的共病种类、发生率及相关因素。方法采用量表、心里测试、行为观察及谈话等综合诊断法对ADHD、抽动障碍、偏头痛、学习障碍、睡眠障碍、对立违抗行为等6种共病进行确认。结果110例癫痫患儿中检出共病58例(52.7%),以ADHD患病最高,达44.5%,其中有一种共病34例(25.4%),两种共病10例(9.0%),三种共病8例(7.2%),四种共病6例(5.4%)。脑电图间期有癫痫样放电患儿共病发生率45.5%,明显高于无癫痫样放电患儿。结论癫痫儿童共病种类多,患病率高,影响其治疗及预后,并增加疾病的复杂性和严重性。
Objective To study the comorbidity, incidence and related factors of children with epilepsy. Methods Six kinds of comorbid diseases such as ADHD, tic disorder, migraine, learning disability, sleep disturbance and countervailing behavior were confirmed by the comprehensive diagnostic methods such as scale, heart test, behavior observation and conversation. Results Fifty-eight cases (52.7%) of the 110 children with epilepsy were diagnosed as co-morbidities. The prevalence of ADHD was the highest (44.5%), of which 34 were common diseases (25.4%) and 10 were common diseases (9.0% , Eight of the three comorbidities (7.2%) and six of the four comorbidities (5.4%). The incidence of comorbid epileptiform discharge in children with interictal EEG was 45.5%, which was significantly higher than that in children without epileptiform discharge. Conclusions Children with epilepsy have many comorbidities and their prevalence is high, which affects their treatment and prognosis, and increases the complexity and severity of the disease.