摘要
目的分析小儿热性惊厥首次发作的临床特点和危险因素。方法回顾性分析2018年2月至2020年12月漯河市第三人民医院收治的热性惊厥首次发作患儿97例作为热性惊厥组,并以1∶1配比抽取同期发热但无惊厥的97例患儿作为对照组。回顾性分析两组患儿的临床资料,分析小儿热性惊厥首次发作的临床特点和危险因素。结果97例小儿热性惊厥首次发作患儿主要以男性(64.95%)、年龄≤3岁(68.04%)为主,原发病以上呼吸道感染(74.23%)为主,春季(32.99%)、夏季(30.93%)为多发季节,且脑电图检查多无异常(71.13%),复发率(8.25%)低。性别、年龄、体温、是否低钠、是否低锌、是否低铁、有无异常出生史、有无抽搐前1周疫苗接种史、有无热性惊厥家族史是小儿热性惊厥首次发作的影响因素(P<0.05)。结论小儿热性惊厥首次发作多为年龄较小的男性患儿,主要致病原因为上呼吸道感染,首次发作危险因素较多,春夏为高发季节,脑电图异常和复发风险均较低。
Objective To analyze the clinical features and risk factors of first episode of febrile seizure in children.Methods A total of 97 children with febrile seizures treated in the Third People’s Hospital of Luohe from February 2018 to December 2020 were selected as the febrile seizure group,and 97 children with fever but no seizure during the same period were selected as the control group according a 1∶1 ratio principle.The clinical data of the two groups were analyzed retrospectively.And the clinical characteristics and risk factors of first episode of febrile seizure in children were analyzed.Results Among the 97 patients with first episode of febrile seizure,most of them were males(64.95%),aged less than or equal to 3 years(68.04%),with primary disease of respiratory tract infection(74.23%),and with spring(32.99%)and summer(30.93%)as the high-incidence seasons.And the electroencephalogram(EEG)examination of most of patients showed no abnormality(71.13%),and the recurrence rate(8.25%)was low.Gender,age,body temperature,low sodium,low zinc,low iron,abnormal birth history,vaccination history within 1 week before convulsion,and family history of febrile seizure were the influence factors of first episode of febrile seizure in children(P<0.05).Conclusions Most of children with first episode febrile seizures are younger males.The main cause is upper respiratory tract infection.There are many risk factors for first episode of febrile seizures in children.Spring and summer are the high-incidence seasons.Risk of EEG abnormalities and recurrence is low.
作者
肖俊华
赵志霞
赵晓瑞
Xiao Junhua;Zhao Zhixia;Zhao Xiaorui(Department of Pediatrics,the Third People’s Hospital of Luohe,Luohe 462000,China)
出处
《中国实用医刊》
2021年第17期31-33,共3页
Chinese Journal of Practical Medicine
关键词
热性惊厥
首次发作
临床特点
危险因子
Febrile convulsion
First episode
Clinical features
Risk factors
