特发性矮小患儿智力与注意力分析

【目的】 探讨特发性矮小(idiopathic short stature,ISS)患儿的智力水平和智力结构以及其持续注意力状况。 【方法】 采用中国韦氏儿童智力量表(C-WISC)对32例ISS患儿的智力结构进行测试,并与32例年龄和性别相匹配的正常儿童进行对照研究;且采用视听整合持续操作测试系统(IVA-CPT)对其中29例患儿进行了注意力测试。 【结果】 ISS组的总智商(full intelligence quotient,FIQ)、言语智商(verbal IQ,VIQ)和操作智商(performance IQ,PIQ)均在正常范围,与对照组比较差异无统计学意义(P>0.05),但言语量表中的知识量表分高于对照组(P<0.05),而操作量表中的图片排列量表分低于对照组(P<0.05);两组PIQ与VIQ差值率比较,ISS组高于对照组(P<0.05)。ISS组综合注意商数、视觉注意力商数、听觉谨慎商数、视觉警醒商数低于对照组,差异有统计学意义(P<0.05),其余商数两组得分差异无统计学意义(P>0.05)。 【结论】 ISS患儿智力水平正常,但智力结构不平衡;ISS患儿比对照组更容易发生注意缺陷多动障碍。

Intelligence and attention of children with idiopathic short stature

【Objective】 To investigate idiopathic short stature(ISS) children’s intelligence level and intelligence structure,and its continued attention to the situation.【Methods】 The intelligence were tested by Wechsler Intelligence Scale for Children-Chinese(C-WISC) in 32 children with ISS and in 32 normal children;and attention were tested by the integrated visual and auditory continuous performance test(IVA-CPT) in 29 children with ISS.【Results】 The full intelligence quotient(FIQ),verbal IQ(VIQ) and Performance IQ(PIQ) in the ISS Group were in a normal range,compared with the control group no significant difference(P>0.05).But the knowledge scale score of the verbal scale was significantly higher(P<0.05),while picture arrangement scale score of the operating scale was significantly lower than the control group(P<0.05);The difference rate between VIQ and PIQ,ISS group was higher than the control group(P<0.05).In ISS group,full scale attention quotient,visual attention quotient,auditory prudence quotient,visual vigilance quotient were significant lower than the control group(P<0.05),the other data had no significant difference between ISS group and control group(P>0.05).【Conclusion】 ISS children have normal intelligence,but intelligence structural is imbalances;ISS children are more likely with attention deficit hyperactivity disorder than the control group.