Ibekwe R C, Ojinnaka N C, Iloeje S O
Department of Paediatrics, Ebonyi State University, Abakiliki, Nigeria.
J Trop Pediatr. 2007 Oct;53(5):338-43. doi: 10.1093/tropej/fmm034. Epub 2007 Jun 27.
The academic performance and intelligence quotient (IQ) of 50 children with epilepsy aged between 5 and 14 years, attending normal primary schools in Enugu, were compared with those of their non-epileptic classmates. The academic performance was assessed using the overall scores achieved in terminal examinations in the 2001-2002 academic year. IQ was assessed using the Draw-A-person Test. The influences of school absence rate, Rutter behavioural scores, socio-economic status and seizure-related variables on academic performance were then determined. Twenty-six percent of the children with epilepsy had a low overall score, and therefore poor academic performance, compared with 16% of the controls (p = 0.35). The mean IQ of the children with epilepsy was significantly lower than that of the controls (p = 0.02). The mean school absence rate for the children with epilepsy was significantly higher than that of the controls (p = 0.001). The mean Rutter score of the children with epilepsy was significantly higher than that for the controls (p < 0.001). On multiple linear regression analysis, only IQ (p = 0.01) and seizure type (p = 0.03) had significant predictive effects as risk factors for low overall scores and poor academic performance. It is concluded that the academic performance of epileptic children is influenced by their IQ and type of seizures rather than by other seizure variables or socio-demographic characteristics.
对50名年龄在5至14岁之间、在埃努古正常小学就读的癫痫患儿的学业成绩和智商（IQ），与其非癫痫同学进行了比较。学业成绩通过2001 - 2002学年期末考试的总成绩来评估。智商采用画人测验进行评估。随后确定了缺课率、鲁特行为评分、社会经济地位和癫痫发作相关变量对学业成绩的影响。癫痫患儿中有26%的人总成绩较低，因此学业表现较差，而对照组这一比例为16%（p = 0.35）。癫痫患儿的平均智商显著低于对照组（p = 0.02）。癫痫患儿的平均缺课率显著高于对照组（p = 0.001）。癫痫患儿的平均鲁特评分显著高于对照组（p < 0.001）。多元线性回归分析显示，只有智商（p = 0.01）和癫痫发作类型（p = 0.03）作为总成绩低和学业表现差的风险因素具有显著的预测作用。得出的结论是，癫痫患儿的学业成绩受其智商和癫痫发作类型的影响，而非受其他癫痫发作变量或社会人口学特征的影响。
