小儿热性惊厥复发高危因素探讨

目的 探讨小儿热性惊厥的复发高危因素及预防控制措施。方法 通过对101例热性惊厥住院患儿的临床分析,家族史调查,脑电图、头颅CT等辅助检查及智力测定,研究其复发的高危因素。结果 101例中复发68例(67.3%),复发高危因素与惊厥家族史、热性惊厥发作类型有关(P<0.01);预防复发的关键在于早期干预。结论 有家族史及复杂型热型惊厥复发率高。对有复发高危因素的热性惊厥患儿,应早期采取干预措施。

Explorations of Risk Factors for Seizure Recurrence in Children with Febrile Convulsion

Objective To discuss the risk factors and pretreatment for seizure recurrence in children with febrile convulsion (FC). Methods With the data of clinical analysis, family history survey, mental test and auxiliary examination including electro-encephalogram and head CT, risk factors for recurrence were observed in this study. Results Recurrence was found in 68 of 101 cases (67.3 % ). And the risk factors for recurrence were: the family history of convulsion and different types of FC P < 0.01). Pretreatment is the key to prevent recurrence. Conclusion The recurrent ratesare high in those who have family history and complicated fever types, pretreatment in a early time should be adopted in managing the patients of FC with risk factors for recurrence.