儿童的认知功能的发展与或没有手术治疗的头骨突
Agnieszka Rożek1, Dawid Larysz1,2, Patrycja Larysz1
1Department of Head and Neck Surgery for Children and Adolescents, University of Warmia and Mazury.
The Journal of craniofacial surgery
|March 26, 2025
概括
患有骨突症的儿童往往有认知障碍,复杂且未经治疗的病例显示出更高的风险. 对这些患者来说,早期评估智商系数和认知功能至关重要.
科学领域:
- 儿科神经学 儿科神经学
- 发育儿科 发育儿科
- 遗传性缺陷 遗传性缺陷是一种先天性缺陷
背景情况:
- 头骨突症涉及头骨的过早融合,导致头骨形状异常.
- 相关的神经发育和认知障碍在受影响的儿童中很常见.
- 了解认知概况对于管理骨突症至关重要.
研究的目的:
- 评估儿童的智商 (IQ) 和认知功能.
- 为了比较手术治疗和未治疗组之间的认知能力.
- 分析基于骨突症类型的认知障碍.
主要方法:
- 评估了365名 (4-15岁) 患有单针和复杂关突症的患者.
- 使用斯坦福-比内特智力尺度评估的认知障碍,第五版 (SB-5).
- 对照组包括手术治疗 (n=240) 和未治疗 (n=125) 的儿童.
主要成果:
- 27.40%的患者在全尺度智商上得分低于平均水平.
- 15.06%的人表现出轻度至中度的智力障碍或智力延迟.
- 复杂且未经手术治疗的关突与较高的认知障碍发生相关.
结论:
- 头骨突发症影响认知发育,观察到显著的智商缺陷.
- 手术治疗状态和关突症的复杂性会影响认知结果.
- 对针对认知缺陷的有针对性的干预措施的进一步研究是有必要的.
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