学龄期原发性癫痫儿童身心健康状况评估

摘要

目的 评估学龄期原发性癫痫儿童的身心健康状况.方法 收集2015年6月～2016年12月于秦皇岛市第一医院收治的7～12岁的110例患儿的临床例资料,根据是否确诊为癫痫分为癫痫组(53例)和对照组(57例).比较两组儿童身高、体重和体重指数(BMI)的标准差比值变化,6 min步行前后心率和步行距离,焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分和罗森伯格自信心量表评分.结果 两组身高标准差比值比较,差异无统计学意义(P＞ 0.05).癫痫组体重和BMI标准差比值大于对照组(P体重=0.05,PB~＜0.05).癫痫组6 min实验后心率明显高于对照组,步行距离明显小于对照组(P＜0.05).癫痫组SAS评分、SDS评分均明显高于对照组(P＜0.05),人格自信心量表评分明显低于对照组(P＜0.05).结论 癫痫组儿童的体格偏肥胖而运动耐量和运动能力减弱,其焦虑和抑郁评分偏高但是自信心评分偏低,提示癫痫患儿身心健康均存在一定的问题,需要适宜的社会支持,来引导癫痫儿童身心健康发育成长.%Objective To evaluate the physical and mental healthy state of children with primary epilepsy at school age.Methods Clinical data of 110 children were collected in the First Hospital of Qinhuangdao at the age of 7-12 from June 2015 to December 2016.Fifty-three children diagnosed with epilepsy were selected as epilepsy group and fifty-seven children without epilepsy were selected into control group.The standard deviation ratio of height,weight and BMI in the two groups were compared.The 6-minute walk tests,self rating anxiety scale (SAS),self rating depression scale (SDS) and Rosenberg self-esteem scale were conducted and analyzed.Results The mean height standard deviation score between the epilepsy group and the control group had no difference (P ＞ 0.05).The standard deviation scores of weight and BMI of epilepsy group was greater than those of the control group (Pweight =0.05,PBMI ＜ 0.05).The heart rate after the 6-minute walk test of the epilepsy group was faster than that of the control group and the distance of the epilepsy group was shorter than that of the control group (P ＜ 0.05).The scores of SAS and SDS of the epilepsy group were higher than those of the control group respectively (P ＜ 0.05),and the score of Rosenberg self-esteem scale of the epilepsy group was lower than that of the control group (P ＜ 0.05).Conclusion The higher physical obesity preference,weaker movement tolerance and exercise capacity in combination with the higher anxiety and depression score of the epilepsy group children indicating that children with epilepsy need to be provided appropriate social support,to guide them to achieve body and mental healthily development and growth.