50例热性惊厥继发癫痫的危险因素分析

Analysis of risk factors of epilepsy after febrile convulsion in 50 cases of epileptic children

目的:探讨小儿热性惊厥后继发癫痫的危险因素。方法:对50例有热性惊厥病史的癫痫患者的临床资料进行回顾性分析。结果:有热性惊厥的50例癫痫患者中,由热性惊厥转变为癫痫有多种危险因素,其中前五位依次是:1岁内起病的热性惊厥;反复复发5次以上的热性惊厥;有围产期脑损伤;一级亲属中有热性惊厥或癫痫病史;反复出现热性惊厥时体温有下降趋势者。结论:热性惊厥后继发癫痫与多种危险因素有关,因此,对于热性惊厥有转变成癫痫的危险因素的患者应早期进行预防性治疗,以减少癫痫的发生率。

ve To explore the risk factors of epilepsy after febrile convulsion in children. Methods The clinical data of 50 cases of heat post convulsive epileptic children were reviewed and examined. Results Among the 50 cases of epilep-tic children, there are 5 major factors topped the list-febrile convulsion before 1 year old;febrile convulsion over 5 times;brain injury in perinatal period;parent with history of febrile convulsion or epilepsy; and falling body temperature in repeated fe-brile convulsion. Conclusions The patients with the risk of epilepsy after febrile convulsion should receive preventive interven-tion as early as possible to reduce the morbidity of epilepsy.