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儿童癫痫精神合并症的流行病学特征、危险因素与综合管理
作者:倪晶1  李伟2 
单位:1. 南京医科大学附属儿童医院 神经内科, 江苏 南京 210019;
2. 南京医科大学附属儿童医院 临床医学研究中心, 江苏 南京 210019
关键词:癫痫 儿童 精神合并症 综述 
分类号:R748
出版年·卷·期(页码):2025·44·第二期(340-343)
摘要:

癫痫是最常见的儿科神经系统疾病之一,癫痫患儿精神合并症的发病率显著高于普通儿童,常见精神合并症包括抑郁、焦虑和注意力缺陷多动障碍(ADHD)等。癫痫患儿精神合并症的发生与抗癫痫药物(AEDs)、脑部病理改变及社会心理因素密切相关,且对癫痫患儿及其家庭的健康相关生活质量(HRQOL)产生严重影响。尽管近年来国内对癫痫的诊断和治疗取得了进展,但针对癫痫患儿精神合并症的研究仍存在不足。本文作者综述了癫痫患儿精神合并症的流行病学特征、相关危险因素,并探讨了相关综合管理策略。以期通过心理干预、行为治疗、药物管理、家庭支持等综合管理,改善癫痫患儿的生活质量和社会适应能力。

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