摘要
癫痫是儿童神经系统最常见的慢性发作性疾病。癫痫患儿易合并智力障碍、特殊学习障碍、自闭症谱系障碍、注意缺陷多动障碍、抑郁和焦虑障碍等神经精神共患病,逐渐受到儿科临床医师的重视,但目前对其认识尚不充分,可能造成诊断和治疗的不全面。积极探讨癫痫患儿神经精神共患病的临床类型和特点、特殊癫痫综合征患儿的心理行为、癫痫患儿神经精神共患病的潜在危险因素及其内在关系,有助于探索癫痫神经精神共患病的协同诊疗和长程管理原则,并最大限度地提高癫痫的治疗效果,改善癫痫患儿的生活质量。
Epilepsy is the most common chronic seizure disease of children′s nervous system.Children with epilepsy are prone to neuropsychiatric comorbidities such as intellectual disability,specific learning disorders,autism spectrum disorders,attention deficit hyperactivity disorder,depression and anxiety disorders,etc.,which have gradually received attention from the pediatric clinicians.However,the current understanding is not sufficient,which may lead to incomplete diagnosis and treatment.Active discussion about the clinical types and characteristics of neuropsychiatric comorbidities in children with epilepsy,the psychological behavior of children with special epilepsy syndrome,and the potential risk factors of neuropsychiatric comorbidities in epileptic children and its internal relations,help to explore the principles of cooperative diagnosis and treatment and long-term management of epilepsy neuropsychiatric comorbidities,and to improve the therapeutic effect and the quality of life of the patients.
作者
张新颖
娄燕
程亚颖
ZHANG Xinying;LOU Yan;CHENG Yaying(Department of Pediatric,Hebei Provincial People′s Hospital,Shijiazhuang 050051,China)
出处
《医学综述》
2020年第23期4678-4683,4688,共7页
Medical Recapitulate
基金
河北省医学科学研究课题(20190210)。
关键词
癫痫
神经精神共患病
儿童
危险因素
Epilepsy
Neuropsychiatric comorbidities
Children
Risk factors
