【摘 要】
：
目的 分析常州市小儿热性惊厥流行病学特点及转为癫痫的危险因素.方法 回顾性分析2013年1月～2015年12月我院收治的100例小儿热性惊厥患儿的临床资料,按照是否转为癫痫分为癫痫组与非癫痫组,总结小儿热性惊厥流行病学特点,分析小儿热性惊厥转为癫痫的危险因素.结果 2013年～2015年,常州市小儿FC 发病率呈逐渐上升趋势,以2013年发病率(22.00％)最低,2015年发病率(43.00％)
【机 构】
：
常州市第一人民医院儿科 江苏 常州 213003 常州市德安医院精神科 江苏 常州 213003
【出 处】
：
2017《中国医院药学杂志》学术年会
论文部分内容阅读
目的 分析常州市小儿热性惊厥流行病学特点及转为癫痫的危险因素.方法 回顾性分析2013年1月～2015年12月我院收治的100例小儿热性惊厥患儿的临床资料,按照是否转为癫痫分为癫痫组与非癫痫组,总结小儿热性惊厥流行病学特点,分析小儿热性惊厥转为癫痫的危险因素.结果 2013年～2015年,常州市小儿FC 发病率呈逐渐上升趋势,以2013年发病率(22.00％)最低,2015年发病率(43.00％)最高；本组小儿FC 以男性多见(68.00％),发病年龄以6个月～3岁居多(71.00％),发病季节以冬(48.00％)、秋(29.00％)为主,原发病多为上呼吸道感染(57.00％),脑电图异常所占比例为39.00％,首次惊厥发作类型以全身性多见(83.00％),体温多在38.9℃以内(88.00％),首次惊厥前发热时间大部分均＜24h(87.00％),首次惊厥次数为1～3次所占比例居多(77.00％),惊厥持续时间＜20min 所占比例较高(78.00％),分型以CFC 为主(71.00％),围生期异常所占比例为13.00％；本组100例小儿FC,随访继发癫痫8例,发生率为8.00％；癫痫组年龄小于非癫痫组(P＜0.05),其有FC 家族史、脑电图异常、CFC 所占比例均高于非癫痫组(P＜0.05),同时癫痫组惊厥次数、惊厥持续时间均高于非癫痫组,对比差异有统计学意义(P＜0.05).结论 惊厥次数＞3次、脑电图异常、CFC 型惊厥均为小儿FC 转为癫痫的独立危险因素,积极控制上述危险因素,并予以预防性治疗,可降低癫痫发生风险.
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