癫痫是一种极其多见的小儿慢性神经系统疾病,与普通人群的儿童和其他未涉及中枢神经系统慢性病的儿童相比,癫痫儿童出现行为和情绪问题的风险更高,并且更易合并注意力缺陷多动障碍、孤独谱系障碍、情绪障碍等共患病,其中以注意力缺陷多动障碍的共患最为多见。诱发注意力缺陷多动障碍共患的危险因素常是多方面的,二者的共患对患儿的日常生活及心理健康造成严重的影响,明确癫痫儿童共患注意力缺陷多动障碍的发病机制以及潜在危险因素至关重要。本文对癫痫儿童共患注意力缺陷多动障碍的发病机制、危险因素、行为与认知特点以及治疗方面的研究进展作一综述,以期为临床管理提供依据,促进最大程度的改善患儿生活质量,达到一个较好的远期预后。
Epilepsy is a common chronic neurological disease in children. Compared with children in the gen-eral population and other children who are not involved in chronic diseases of the central nervous system, children with epilepsy have a higher risk of behavioral and emotional problems. It is more likely to be associated with attention deficit hyperactivity disorder, loneliness spectrum disorder, mood disorder and other co-diseases, of which attention deficit hyperactivity disorder is the most common. And the risk factors of attention deficit hyperactivity disorder are often various, and at-tention deficit hyperactivity disorder has a serious impact on children’s daily life and mental health. It is very important to clarify the pathogenesis and potential risk factors of attention deficit hyper-activity disorder in children with epilepsy. This article reviews the research progress on the patho-genesis, risk factors, behavioral and cognitive characteristics and treatment of attention deficit hy-peractivity disorder in children with epilepsy, in order to provide basis for clinical management, promote the maximum improvement of children’s quality of life, and achieve a better long-term prognosis.
Epilepsy is a common chronic neurological disease in children. Compared with children in the general population and other children who are not involved in chronic diseases of the central nervous system, children with epilepsy have a higher risk of behavioral and emotional problems. It is more likely to be associated with attention deficit hyperactivity disorder, loneliness spectrum disorder, mood disorder and other co-diseases, of which attention deficit hyperactivity disorder is the most common. And the risk factors of attention deficit hyperactivity disorder are often various, and attention deficit hyperactivity disorder has a serious impact on children’s daily life and mental health. It is very important to clarify the pathogenesis and potential risk factors of attention deficit hyperactivity disorder in children with epilepsy. This article reviews the research progress on the pathogenesis, risk factors, behavioral and cognitive characteristics and treatment of attention deficit hyperactivity disorder in children with epilepsy, in order to provide basis for clinical management, promote the maximum improvement of children’s quality of life, and achieve a better long-term prognosis.
康 萌,杨欣伟. 儿童癫痫共患注意力缺陷多动障碍的研究进展Research Progress of Attention Deficit Hyperactivity Disorder in Children with Epilepsy[J]. 临床医学进展, 2022, 12(10): 9180-9186. https://doi.org/10.12677/ACM.2022.12101328
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