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【目的】探讨热性惊厥(febrile seizures,FS)对儿童注意力的影响。【方法】对30例有单纯型热性惊厥(simple febrile seizures,SFS)史、30例有复杂型热性惊厥(complex febrile seizures,CFS)史和30例无热性惊厥史的儿童采用视听整合持续操作测试(integrated visual and auditory continuous performance test,IVA-CPT)进行对比分析。【结果】CFS组综合注意商数为83.000±23.199、视觉注意力商数为83.167±23.878、视觉一致性商数为92.250±16.103、视觉警醒商数为79.000±27.330、听觉警醒商数为77.167±29.652和视觉集中商数为95.417±10.975,而正常对照组的上述结果分别为98.947±14.905,99.632±14.359,105.605±12.684,96.895±16.097,95.632±19.462,和104.947±10.449,两组结果比较差异均有统计学意义(P值均<0.05)。SFS组与正常对照组之间各注意力商数差异无统计学意义。CFS组与SFS组仅听觉警醒商数一项差异有统计学意义,余各项商数差异均无统计学意义。【结论】复杂型热性惊厥儿童存在反应控制力和持续性注意力的损害,单纯型热性惊厥儿童不存在反应控制力和持续性注意力的损害。
【Objective】 To investigate the effect of febrile seizures (FS) on children’s attention. 【Methods】 A total of 30 children with simple febrile seizures (SFS) history, 30 patients with complicated febrile seizures (CFS) history and 30 patients without febrile seizures were treated with audiovisual integration Continuous operation test (integrated visual and auditory continuous performance test, IVA-CPT) for comparative analysis. 【Results】 The total number of attentiveness of CFS was 83.000 ± 23.199, the number of visual attentiveness was 83.167 ± 23.878, the number of visual concordance was 92.250 ± 16.103, the number of visual awakening was 79.000 ± 27.330 and the number of audible awakening was 77.167 ± 29.652 and the number of visual concentration was 95.417 ± 10.975, while the results of the normal control group were 98.947 ± 14.905, 99.632 ± 14.359, 105.605 ± 12.684, 96.895 ± 16.097, 95.632 ± 19.462, and 104.947 ± 10.449, respectively All were statistically significant (P <0.05). There was no significant difference in attention quotient between SFS group and normal control group. There was no significant difference between quotient of auditory awake only in CFS group and SFS group. 【Conclusion】 The children with complicated febrile convulsion have the damage of reaction control and persistent attention. The children with simple febrile seizure do not have the damage of reaction control and sustained attention.