儿童热性惊厥发作的昼夜分布特点及相关影响因素

目的 探讨儿童热性惊厥发作的昼夜分布特点及相关影响因素。方法 回顾性分析河北大学附属医院儿科2014年1月至2019年12月收住院的443例热性惊厥患儿发作次数的昼夜分布特点,并分析性别(男/女)、初发年龄(≤3岁/>3岁)、胎龄(早产/足月)及出生方式(剖宫产/顺产)对热性惊厥发作昼夜分布的影响作用。结果 热性惊厥发作次数的昼夜分布差异有统计学意义(χ²=5.411,P=0.020);单因素分析结果显示,不同性别、初发年龄、胎龄的患儿发作的昼夜分布差异均有统计学意义(均P<0.05);Logistic回归分析发现,初发年龄、胎龄是儿童热性惊厥发作昼夜分布的影响因素,差异均有统计学意义(均P<0.05)。结论 儿童热性惊厥发作的昼夜分布有一定特点,且受初发年龄、胎龄的影响。

Diurnal distribution characteristics and related influencing factors of febrile seizures in children

Objective To explore the diurnal distribution characteristics and related factors of the number of febrile convulsions in children. Methods The diurnal distribution characteristics of 443 children with febrile convulsion hospitalized in the Department of Pediatrics of Affiliated Hospital of Hebei University from January 2014 to December 2019 were analyzed retrospectively. The effects of gender(male/female), age at onset(≤3 years old/>3 years old), gestational age(preterm birth/term birth)and birth mode(caesarean delivery/natural delivery)on the day-night distribution of febrile seizures were analyzed. Results The diurnal distribution of the number of seizures was different(χ²=5.411,P=0.020), the results of univariate analysis showed that there were differences in the day and night distribution of seizures in children with different genders, age at first onset, and gestational age(all P<0.05). Logistic regression analysis showed that age at onset and gestational age the influencing factors of the diurnal distribution of febrile seizures in children, and the differences were statistically significant(all P<0.05).Conclusion The diurnal distribution of the number of febrile convulsions in children has certain characteristics, which is affected by age at onset and gestational age.