邳州地区幼儿及学龄前儿童热性惊厥流行病学调查

Epidemiological investigation of febrile convulsion in kids and preschool children in Pizhou

目的 调查邳州地区幼儿及学龄前儿童热性惊厥（FC）的临床特点,为本地区该病的防治提供依据。方法2013年11-12月对邳州城区3所及乡镇5所幼儿园912名幼儿及学龄前儿童进行问卷调查。结果 912名小儿中有37例发生过FC,发生率为4.06%（37/912）。15例复发,复发率为40.54%（15/37）;发作多呈单纯型（28/37,75.68%）;持续时间多在〈10 min（29/37,78.3%）。复发危险因素：首次FC发作年龄〈3岁、发作时体温〈38.5℃、复杂型FC、第一次发作病程频发≥2次、FC家族史。结论 邳州地区小儿FC患病率为4.06%,FC发作多呈单纯型,部分复杂型FC可转变为癫痫。

Objective To investigate the clinical characteristics of febrile convulsion（FC） in kids and preschool children in Pizhou in order to provide reference for prevention and treatment of the disease. Methods From November to December 2013, nine hundred and twelve kids and preschool children from kindergartens including 3 ones from urban areas and 5 from villages and towns were carried out questionnaire. Results Among all these kids,37 ones occurred with FC accounting for 4.06% （37/912）,of which 15 cases were recurred,and the recurrence rate was 40.54%（15/37）.The seizure was in simple type （28/37,75.68%）.The duration mostly lasted within 10min （29/37,78.3%）.The Recurrence risk factors included onset of FC for the first time being less 3 years old,onset of body temperature being lower than 38.5℃, complex type of FC,frequency of onset of course of disease for the first time being over 2 times,and FC family history. Conclusion The morbidity of pediatric FC in Pizhou is 4.06%.The onset of FC is mostly in simple type,and part of FC in complex type can be converted into epilepsy.