经药物治疗的癫痫在学儿童的学习前景:500例调查分析

目的 了解治疗中的在学癫痫儿童之学习状况和升学概况。方法 随机收集规则治疗并随访的癫痫在学儿童资料(1980～1995年)500名，所有患儿均接受抗癫痫药物治疗3年以上，并随访其发作情况及学习情况。包括小学阶段500名及其后升入初中阶段100名的学习情况；此外另调查100名儿童初中毕业后去向。结果 最终能完成小学阶段学习的癫痫儿童共477名(95.4％)；癫痫组与健康组儿童小学成绩因前者留级人次较多而有显著差异(P<0.05)；100名初中毕业儿童中有62人升人高中。在学癫痫儿童经治疗一年内能控制发作者占68％，其中部分儿童学习良好。结论 上述研究结果对癫痫儿童及与之相关的社会人群鼓舞很大。对这一慢性、发作性疾病儿童的疾病控制、学习问题和心理特征方面需予特殊关注，以有效改善学习状况，利于今后的择业和生活质量。

Study potential in school children with anti-epileptic drugs at school: An analysis of 500 children

Objective To investigate the study status in children with epilepsy who were accepting the anti-epileptic drugs(AEDs).Methods The sample was collected through 1980 to 1995, totally 500 children withAEDs treated in our clinic were prospectively chosen in radom.All children acception the AEDs treatment for more than 3 years had been studying in primary or middle school. They were regularly followed up for their seizure and their performance in study including 500 children in primary schools,100 children in junior middle schools. 100 children were investigated in their directions after grduating from junior middle schools. Results 477(95.4%) children with epilepsy finally accomplished the courses of primary schools.Comparing 477 epilepsy children with healthy children they were remarkable differences (P<0.05), due to the number of students who failed to go up to higher grade in epilepsy group more than that in healthy group.62 of 100 children with epilepsy graduanting from junior middle schools went up to senior middle schools.The rate of seizure free was 68% within one year after starting treatment.Some of them did exceedingly well in their studies.Conclusions The results would greatly inspirit children with epilepsy, their parents and neurological pediatricians for this chroni disease.This finding also draws attention to the special needs of children with epilepsy in studies,psychological characters and anti-epileptic therapies.All these factors will affect children with epilepsy on their occupational prospects and their quality of life.