小儿重症病毒性脑炎预后相关因素分析

目的：探讨影响小儿重症病毒性脑炎预后的各种相关危险因素。方法：按预后的结果将150例小儿重症病毒性脑炎患者分为预后好组（A组）和预后差组（B组），对其临床资料进行回顾性分析。结果：B组病程进展速度较A组快、意识障碍程度即Glasgow评分较A组低，意识障碍持续时间、发热时间、惊厥持续时间较A组长，以精神行为异常为主要表现者比例较A组高，脑干颅神经损害比例较A组高，脑电图重度异常、MRI异常的比例均高于A组，且差异均有统计学意义（P〈0.05）。结论：小儿病毒性脑炎预后差的相关危险因素复杂多样，应引起足够重视，进行积极有序的综合治疗。

Analysis of Related Factors of Prognosis of Severe Viral Encephalitis in Children

Objective：To investigate the related risk factors of prognosis in children with severe viral encephalitis.Method：150 patients with severe viral encephalitis in children were divided into good prognosis group（A group）and poor prognosis group（B group） according to the prognosis result,the clinical data were retrospectively analyzed.Result：Progression of Group B was faster than that of group A.Level of consciousness that Glasgow score was lower than that of group A,the time of disturbance of consciousness,the heating time,seizure duration was longer than those of group A.The ratio of mental behavior,the injury of cranial nerve and brainstem,the EEG abnormality and the MRI abnormality were higher than those of group A.The difference were statistically significant（P〈0.05）.Conclusion：The risk of poor prognosis in children with viral encephalitis complicated and diversified factors,we should pay more attention to it and comprehensive treatment of active and orderly.