ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2018, Vol. 10 ›› Issue (3): 249-251.doi: 10.3969/j.issn.1674-3865.2018.03.020

• 临床研究 • 上一篇    下一篇

儿童高热惊厥的危险因素及预后分析

李佳,童慈兰   

  1. 410007 长沙,湖南省儿童医院留观输液科
  • 出版日期:2018-06-25 发布日期:2018-11-19
  • 通讯作者: 李佳,E-mail:lijia88@126.com
  • 作者简介:李佳(1988-),女,护师。研究方向:儿童急救护理

Febrile seizures in children: analysis of risk factors and prognosis

LI Jia,TONG Cilan   

  1.  Hunan Children's Hospital, Changsha 410007,China
  • Online:2018-06-25 Published:2018-11-19

摘要:
目的
分析儿童高热惊厥的危险因素与预后的关系。
方法
选择2013年8月至2015年8月湖南省儿童医院儿科收治住院的高热惊厥患儿120例为研究对象,分析其首发年龄、初发体温、家族史、病史等危险因素与预后的关系。
结果
随访时间3~6年,平均(4.8±1.1)年。120例高热惊厥患儿中,预后较差者达14例,占11.7%;经脑电图证实,10例转为癫痫,4例测定智商显示智力障碍。高热惊厥患儿的危险因素包括首发年龄、初发体温、家族史和病史等,各组间的差异比较具有统计学意义(P<0.05);Logistic回归分析提示影响高热惊厥患儿预后的独立危险因素为首发年龄<1岁、初发体温<40 ℃、病史、有家族疾病史。
结论
高热惊厥患儿的首发年龄、初发体温、家族史、病史等危险因素与疾病预后关系密切。

关键词: 高热惊厥, 危险因素, 预后, 儿童

Abstract:
Objective
To analyze the relationship between risk factors and prognosis of febrile seizures in children.
Methods
Totally 120 cases of children with febrile seizures who were admitted to Hunan Children's Hospital from August 2013 to August 2015 were studied. The relationship of prognosis with first-onset age, initial body temperature, family history and disease history was analyzed.
Results
The followup time was 3 to 6 years, averaged (4.8±1.1)years. Among 120 children with febrile seizures, the prognosis was poor in 14 cases(11.7%). The electroencephalogram confirmed that 10 cases were converted to epilepsy and 4 cases were determined to have intelligence disorder. The risk factors of febrile seizures included first-onset age, initial temperature, family history and disease history, and the differences were statistically significant among groups(P<0.05). Logistic regression analysis suggested that the independent risk factors affecting the prognosis of children with febrile seizures were firstonset age <1 year, initial body temperature <40 ℃, disease history, and family history.
Conclusion
The risk factors such as first-onset age, initial temperature, family history and history of febrile seizures were closely related to prognosis.

Key words: Febrile seizures, Risk factors, Prognosis, Children