242例不同来源高热惊厥患儿电解质水平比较分析

Electrolyte Levels Comparative Analysis of 242 Cases of Febrile Convulsion Children

目的观察不同来源的高热患儿血清钙、钠、钾、氯离子的水平与发生惊厥的关系。方法选择242例1-3岁高热患儿,采集动脉血,应用干化学式血气电解质分析系统进行血气分析。按照单纯性高热惊厥患儿以及高热无惊厥患儿进行分组,比较平均血清离子水平;按照患儿来源于城市或外来务工人员进行分组,比较患儿平均血清离子钙水平,并比较惊厥发生率。结果高热惊厥患儿血清钙离子水平显著低于高热无惊厥患儿血清离子钙水平(P<0.05);外来务工人员患儿(143例)的平均血清离子钙水平低于城市患儿(99例)平均血清离子钙水平(P<0.05);外来务工人员患儿与城市患儿高热惊厥的发生率无统计学差异(P>0.05)。结论低钙是发生高热惊厥的危险因素,对于来源于城市及外来务工人员的儿童,均应积极倡导合理补钙并发展社区医疗,提高流动人口婴幼儿的科学抚育和监管,减少儿童高热惊厥的发生率。

Objective To observe the correlationship of serum electrolyte levels and convulsion from children of dif ferent sources. Methods Selected 242 cases hyperpyrexia children aged 1-3 years, the mean serum electrolyte levels are compared in simple Febrile Convulsions children group and Febrile non convulsion children group;The mean serum ionized calcium levels are compared in urban source children group and migrant workers source group^The convulsions incidence were compared of urban source children group and migrant workers source group. Results The mean serum i- onized calcium levels of simple Febrile Convulsions children group （n= 130） lower than Febrile non convulsion children group （112 cases） （P〈0.05）;The mean serum ionized calcium levels in migrant workers source group （143 cases） lower than urban source children group （P〈0. 05） ;The incidence of Febrile Convulsions was no significant difference （P〉0.05） between urban source children group and migrant workers source group. Conclusion Hypocalcaemia is a risk factor for the occurrence of simple Febrile Convulsions. It should be actively promoted the development of community medical and scientific upbringing and supervision to ensure the reduction of convulsions incidence both of urban source and migrant workers source children.