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目的探讨热性惊厥小儿预后现状,并分析其相关影响因素。方法选择本院2011年1月-2013年10月收治的热性惊厥患者360例,其中318例预后较好(对照组),其余42例为观察组,其中29例复发,5例智力低下发,8例出现癫痫等不良反应。结果观察组平均年龄为(1.13±0.09)岁,低于对照组(2.54±0.48)岁(P<0.05);观察组家族史为16.67%(7/42),高于对照组2.52%(8/318)(P<0.05);观察组平均持续时间和平均体温分别为(14.52±2.31)min和(39.47±0.10)℃,均高于对照组(6.38±1.20)min和(38.24±0.13)℃,差异均有统计学意义(P<0.05);观察组Hb为(101.46±9.81)g/L,低于对照组(128.67±10.26)g/L(P<0.05);观察组脑电图异常和高热惊厥分别为85.71%(36/42)和38.10%(16/42),均高于对照组(P<0.05)。结论热性惊厥小儿预后一般良好,影响热性惊厥小儿预后的主要因素有年龄、家族史、持续时间、脑电图、Hb、体温和发热类型等。
Objective To investigate the prognosis of children with febrile seizures and to analyze the related factors. Methods A total of 360 patients with febrile seizures admitted to our hospital from January 2011 to October 2013 were selected, of whom 318 had a better prognosis (control group) and the remaining 42 patients under observation. Among them, 29 patients relapsed and 5 patients with low intelligence , 8 cases of epilepsy and other adverse reactions. Results The average age of the observation group was (1.13 ± 0.09) years old, lower than that of the control group (2.54 ± 0.48) years old (P <0.05). The family history of the observation group was 16.67% (7/42) (P <0.05). The average duration and mean body temperature in the observation group were (14.52 ± 2.31) min and (39.47 ± 0.10) ℃, respectively, which were significantly higher than those in the control group (6.38 ± 1.20) min and (38.24 ± 0.13) (P <0.05). The Hb in the observation group was (101.46 ± 9.81) g / L, which was lower than that in the control group (128.67 ± 10.26) g / L (P <0.05) Abnormal and febrile seizures were 85.71% (36/42) and 38.10% (16/42), respectively, which were higher than those in the control group (P <0.05). Conclusions The prognosis of children with febrile seizures is generally good. The main factors influencing the prognosis of children with febrile seizures are age, family history, duration, EEG, Hb, body temperature and fever type.