小儿热性惊厥复发的危险因素分析

Analyse of recurrence risks for febrile convulsion in children

目的 探讨儿童首次热性惊厥（ｆｅｂｒｉｌｅ ｃｏｎｖｕｌｓｉｏｎ，ＦＣ）后复发的危险因素，为临床决策提供理论依据。方法 对２１３例首次ＦＣ的患儿进行跟踪、随访，应用Ｌｏｇｉｓｔｉｃ回归分析对所得数据进行处理。结果 首次发作时惊厥次数超过２次、发病前已有中枢神经系统异常、惊厥为部分性或左右不对称性是ＦＣ复发的相关危险因素。并建立了ＦＣ复发的预测模型。结论 临床工作中对于首次ＦＣ发作的患儿，如存在上述危险因素，可预防性使用抗惊厥药。

Objective To search for the recurrence risk factors for first febrile convulsion (FC) in children and to provide scientific basis for the clinical work. Methods We followed up the children of first FC and the deta were analyzed using logistic regression. Results The recurrence risk factors for FC included that the number of initial FC is more than two times, and center nerve system is abnormal before FC and convulsion is abpartial and symmetry. We also constructed a forecast pattern for FC recur- rence. Conclusions We might treat the children of FC, which have recurrence risk factors.