精神运动性癫痫儿童记忆障碍的临床研究

目的 探讨精神运动性癫痫患儿的记忆障碍情况.方法 采用修订的韦氏记忆量表对60例正常对照组儿童及76例精神运动性癫痫患儿分别进行测评,观察相应指标的变化.结果 精神运动性癫痫患儿较正常儿童存在明显记忆障碍,发作频率对记忆障碍无影响( P ＞0.05),而病程长短及临床是否控制良好与记忆障碍有关影响( P ＜0.05);左侧起源者较右侧起源者短时记忆、瞬时记忆和总MQ水平均偏低,尤其是联想学习[(8.12±3.16)分,(9.79±2.67)分]、背数[(5.44±3.84)分,(7.47±3.26)分]及总MQ[(79.21±24.36)分,(93.34±26.07)分]水平差异有显著性( P ＜0.05).左侧起源者治疗后较右侧起源者治疗后记忆改善似乎更明显,尤以联想学习、理解记忆、背数及总MQ水平改善显著( P ＜0.05).结论 精神运动性癫痫患儿有明显的记忆障碍;良好的临床控制以及尽可能缩短病程对保护及改善记忆障碍有积极作用.

Clinical study on the psychomotor epilepsy children on memory disorder

Objective To study the memory disorder in psychomotor epilepsy children. Methods The WMS-R Scales were used to evaluate the memory to 76 psychomotor epilepsy children who met the entry criteria. Seventy normal children who had the similar personal characters served as control. Results Compared with control group,Memory was lower in psychomotor epilepsy children.The memory in psychomotor epilepsy children was notable correlated with the durations of the illness.The more longer durations of the illness,the more worse memory function( P ＜0.05).The memory of cases which seizures arisen from left temporal lobe was more easily suffered from illness than that of cases which seizures arisen from right temporal lobe( P ＜0.05). The left side of the origin and the origin of the right to compare, memory improvement seem to be more clear after treatment( P ＜0.05).Conclusion Memory in psychomotor epilepsy children was lower than normal children. Good clinical control and shorten the course to protect and improve the memory disorders have a positive effect.