Abstract:

Objective To analyze the cognitive level of children 5 years after living liver transplantation，and also to study the related factors affecting the cognitive level of children，so as to provide a scientific basis for the care of children after living liver transplantation and to strengthen their cognitive level. Methods A total of 37 random children who underwent living donor liver transplantation in a hospital was used as the study population，and the Montreal Cognitive Assessment Scale was selected to investigate the cognitive level of children after living donor liver transplantation. A questionnaire with demographic and sociological data was used to study the factors affecting the cognitive level of children after living donor liver transplantation. Excel spreadsheet was used to input data one by one and establish database. SPSS 23.0 statistical software was used for analysis. Results The study showed that the total score of cognitive level after liver transplantation in children was（26.46±2.43）scores，there was no significant difference in the total cognitive level of children with different methods of liver transplantation, years of liver transplantation, blood type, education level and gender. Conclusion It was found that children's cognitive level 5 years after living donor liver transplantation was at a low level and that different years of liver transplantation，gender，blood group，and literacy did not have an effect on children's cognitive level 5 years after living donor liver transplantation.

Key words:

Living donor liver transplantation, Cognitive level, Children

摘要：

目的 分析儿童在活体肝移植术后 5 年的认知水平，同时研究影响儿童认知水平的相关因素，从而给儿童活体肝移植术的护理提供科学依据，加强儿童活体肝移植术后的认知水平。方法 本研究通过方便抽样调查某医院实施活体肝移植手术的 37 例儿童作为研究对象，通过人口社会学资料进行问卷调查设计，选择蒙特利尔认知评估量表来调查儿童活体肝移植术后的认知水平，研究影响儿童活体肝移植术后的认知水平因素。采用 Excel 电子表格逐一录入数据并建立数据库，采用 SPSS 23.0 统计软件进行分析。结果 研究表明儿童肝移植术后认知水平总分为（26.46±2.43）分，且不同活体肝移植手术方式、肝移植年限、血型、文化程度以及性别针对术后儿童认知水平总分比较差异无统计学意义。结论 研究发现肝移植手术会对儿童的智力、认知水平等造成一定的不良影响，存在影响肝移植术后患儿认知水平的不良因素，应尽可能提早发现和规避它们，减少智力发育迟缓的情况，也可以通过一些可行的智力提升方式，提升患儿的认知水平。

关键词:

活体肝移植 , 认知水平 , 儿童