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癫是一种慢性疾病,因其疾病的特殊性质及抗癫药物的长期应用,患者常合并有程度不等的认知功能障碍。认知功能是癫的重要预后指标之一,对认知功能障碍程度的评定既可用于判断预后和指导康复治疗,也可为相关临床科研工作提供统一量化、有较好可比性的数据。对癫患者的认知功能评定越来越引起临床和科研工作者的注意,2011年国际抗癫联盟(ILAE)发布了癫神经心理并发症的治疗指南,其中包括癫相关的认知功能异常评估和处理指南,强调应向癫患者及家属宣教认知功能的相关知识,并应由专业的临床神经心理学者对癫患者进行认知功能评定。本文复习癫认知评定方法的有关文献,对近年在此方面的研究作介绍。
Epilepsy is a chronic disease, because of the special nature of the disease and long-term use of anti-epileptic drugs, patients often have varying degrees of cognitive dysfunction. Cognitive function is one of the important prognostic indicators of epilepsy. The assessment of the degree of cognitive dysfunction can be used to judge the prognosis and guide the rehabilitation treatment. It can also provide a unified quantitative, comparatively comparable data for the relevant clinical research work. Cognitive assessment of patients with epilepsy is increasingly drawing the attention of clinicians and researchers. In 2011, the International League against Anti-epilepsy (ILAE) issued guidelines for the treatment of neuropsychological complications of epilepsy, including epilepsy-related cognition Cognitive dysfunction assessment and treatment guidelines, emphasizing the epilepsy patients and their families should be mission-related knowledge of cognitive function, and by a professional clinical neuropsychologist cognitive function in patients with epilepsy assessment. This article reviews the literature on cognitive assessment of epilepsy, describes the research in this area in recent years.