中药配合针刺治疗儿童热性惊厥122例疗效观察

目的探讨儿童热性惊厥的临床特点、发病机制以及危险因素、转归,强化对儿童热性惊厥的认识。方法将122例热性惊厥患儿采用针刺加中药疗法治疗。采用毫针直刺患儿人中穴,随后进行物理降温,待患儿停止惊厥抽搐后给予口服清热息风汤,5 d为1个疗程,连续治疗1个疗程后统计疗效。结果治疗后患儿的平均住院时间为4.6 d,大部分患儿痊愈出院,6例复杂型热性惊厥患儿无效。在长期随访中有6例患儿转化为癫痫。结论儿童热性惊厥的发病机制是多方因素综合作用的结果,提高医生及家属对热性惊厥的认识,对预防及治疗儿童热性惊厥具有十分重要的意义。

Clinical observation of 122 cases of acupuncture and Chinese medicine treatment of children with febrile convulsion

Objective To investigate the clinical characteristics,pathogenesis and risk factors,outcome,in children with febrile seizures,strengthen the understanding of children with febrile convulsion. Methods 122 cases of children with febrile convulsion were treated with acupuncture combined with traditional Chinese medicine therapy. Use Hao needle prick the Renzhong point,then use the physical cooling. When the convulsion seizures stopped,use oral Qingre Xifeng Decoction,5 d for 1 course of treatment,continuous treatment of 1 statistical effect after treatment. Results The average hospitalization time after treatment was 4. 6 days,most of the cases were cured,6 cases of children with complicated febrile convulsion was invalid. And in the long-term follow-up,6 patients suffered epilepsy. Conclusion The pathogenesis of febrile convulsion in children is the combined action of various factors. Doctors and families of the patients should be improved in understanding of febrile convulsion,have very important sense to prevention and treatment of children with febrile convulsion.