小儿热性惊厥的脑电图表现及转归

Electroencephalographic representation and consequence of infant febrile convulsion

目的探讨小儿热性惊厥(FC)的脑电图(EEG)表现及转归。方法对127例FC患儿随访病例的临床资料、脑电图表现及预后进行回顾性分析。结果127例FC患儿首次发病年龄在3岁以下者103例,占81.1%,EEG异常率为37.8%,26%的患儿有惊厥家族史,复发率为36.2%,复发高危因素与年龄、体温、发作类型、家族史有关(P<0.05,P<0.01)。癫痫发生率为2.4%。结论FC患儿多为良性经过,远期预后良好,少数反复发作者可移行为癫痫。

Objective To investigate the electroencephalographic representation and consequence of infant febrile convulsion （FC）. Methods One hundred and twenty seven cases of children with FC were followed up and analyzed retrospectively. Results Among the 127 FC patients, the age of the first onset of 103 cases were under 3 years old（81.1% ）. Abnormality rate of EEG was 37.8% ,children of FC with family medical history were 26% ,recurrence rate was 36.2%. The relaps high risk factors included age, body temperature, the type of FC, and the family medical history of FC （P 〈 0.05, P 〈 0.01 ）. Epilepsy incidence rate was 2.4%. Conclusion Infant FC patients are mostly innocence, with long-term eusemia, and most patients who sufferring recurrent attacks may be transmigrated to be epilepsia patients.