热性惊厥186例脑电图检查分析

The EEG analysis in 186 cases of children with febrile seizure

目的:探讨热性惊厥患儿临床资料与脑电图之间的联系,以及脑电图检查在热性惊厥患儿中的重要性。方法:对186例热性惊厥患儿进行脑电图检查并总结分析其特点。结果:热性惊厥患儿的脑电图异常率与发作次数、发作时体温、首次发作年龄,以及是否具有家族史都具有较密切的关系,差异具有统计学意义(P<0.05)。结论:反复发作、发作时体温低于38.5℃、年龄小于3岁及具有家族史的热性惊厥患儿更易出现脑电图异常,脑电图检查结果对患儿预后评估具有临床价值。

Objective：To observe the relationship between electroencephalogram（EEG） and clinical characteristics of children with febrile seizure（FS） and explore the importance of EEG in clinic application.Methods：We had an EEG examination for 186 children with febrile seizure and summarize its characteristics.Results：EEG abnormal rate of children with FS was associated with first episode age, onset temperature, attack frequency and FS family history and the results were all with statistic difference.Conclusion：The children who were under age three, had lower onset temperature than 38.5℃, suffered recurrent attack or had FS family history were more likely to turn up the abnormal EEG.EEG was extremely valuable on the prognosis evaluation of FS children.