痉挛型脑性瘫痪患儿注意力的特征研究

关键词：痉挛型脑性瘫痪  注意力  注意网络

Keywords:spastic cerebral palsy  attention  attention network

摘要：

      摘要 目的：使用注意网络评估工具，研究痉挛型脑性瘫痪（脑瘫）患儿注意力的特征。 方法：选取在云南省残疾人康复中心就诊的51例痉挛型脑瘫患儿作为研究组，就读于昆明市经开区幼儿园的48 例同龄正常儿童作为对照组。使用注意网络测试系统对两组儿童进行测试，选取平均反应时、总用时、正确率、错误率和遗漏率作为评价指标，比较两组儿童注意网络的差异。 结果：①注意网络平均反应时比较：在定向网络和执行网络平均反应时上两组存在显著性差异（P<0.05），对照组定向网络和执行网络反应优于脑瘫组；在警觉网络平均反应时上两组未见明显差异（P>0.05）。②注意网络正确率、错误率、遗漏率和总用时比较：两组正确率、错误率和遗漏率上均存在显著性差异（P<0.05）。其中，对照组正确率高于脑瘫组；错误率、遗漏率脑瘫组明显高于对照组；在总用时上，两组也存在显著差异（P<0.05），对照组总用时略高于脑瘫组。③脑瘫组中注意网络的性别差异：脑瘫组男、女童在警觉网络、定向网络和执行网络上未见显著性差异（P>0.05）。④对照组中注意网络的性别差异：对照组男、女童在定向网络、执行网络上未见显著性差异（P>0.05）；在警觉网络平均反应时上，女童警觉网络优于男童（P<0.05）。 结论：痉挛型脑瘫患儿注意力与正常同龄儿童相比整体偏低，且定向网络和执行网络差异较为明显，提示在临床康复治疗中，应将患儿注意力作为一个关注点，纳入患儿康复治疗计划中，优化治疗方案。

Abstract:

      Abstract Objective: To study the characteristics of attention in children with spastic cerebral palsy using a network assessment tool. Method: A total of 51 children with spastic cerebral palsy in the rehabilitation center of disabled people in Yunnan province were selected as the study group. Forty-eight children enrolled from the kindergarten of Jingkai District of Kunming City were used as the control group. The two groups of children were tested using the attention network test system. The average response time,total time,correct rate,error rate and missing rate were selected as evaluation indicators to compare the difference of attention network between the two groups. Result: The comparison of the average response of the network：There was a statistical difference between the two groups in the Orienting network and Executive network (P<0.05). The Orienting network and Executive network response of the control group were better than those of the cerebral palsy group. There was no significant difference between the two groups in the mean response (P>0.05). Pay attention to the network correct rate， error rate， omission rate and total time comparison：There was statistical differences in the correct rate， error rate and omission rate between the two groups (P<0.05). Among them the correct rate of the control group was higher than that of the cerebral palsy group. The error rate and the missing rate were significantly higher in the cerebral palsy group than in the control group， there was also a significant difference between the two groups in the total time (P<0.05)， and the total control time of cotrol group was slightly higher than that of the cerebral palsy group. Gender differences in attention network in the cerebral palsy group：There were no significant differences between male and female of the cerebral palsy group in the alert network， directed network and execution network (P>0.05). Gender differences in attention network in the control group：There were no significant differences between the male and the female of the control group in the orienting network and the executive network (P>0.05). In the average response time of the alert network， the girl's alert network was superior to the boy's (P<0.05). Conclusion: The attention of children with spastic cerebral palsy is lower than that of normal children with the same age， and the difference between orienting network and executive network is obvious. It suggests that attention should be paid to the attention of children in clinical rehabilitation treatment and to optimize treatment options.