季节性婴幼儿腹泻并发惊厥临床病因及预后分析

Clinical causes and prognosis analysis on seasonal infantile diarrhea complicated with convulsion

目的探讨季节性婴幼儿腹泻并发惊厥临床病因及预后分析。方法回顾性分析我院2014年11月～2017年11月期间就诊的季节性婴幼儿腹泻婴幼儿病历资料,对所有研究对象一般资料进行收集,对比季节性婴幼儿腹泻并发惊厥一般资料差异情况,有差异项带入Logistic回归方程,分析季节性婴幼儿腹泻并发惊厥病因,并给予针对性预防措施。结果所选取调查对象中共有33例患儿发生惊厥,占3.30%。在高热、血钠、中毒性菌痢及血钙上,发生季节性婴幼儿腹泻并发惊厥与未发生季节性婴幼儿腹泻并发惊厥对象对比有差异,P <0.05。将上述因素带入Logistic回归方程计算发现,上诉情况均是引起季节性婴幼儿腹泻并发惊厥的影响因素。结论季节性婴幼儿腹泻会受高热、血钠、中毒性菌痢及血钙的影响,增加惊厥发生率,临床应针对性给予相关预防措施,减少季节性婴幼儿腹泻并发惊厥发生率。

Objective To explore the clinical causes and prognosis analysis on seasonal infantile diarrhea complicated with convulsion. Methods The clinical data of infants with seasonal infantile diarrhea who were treated in November 2014 to November 2017 in our hospital was retrospectively analyzed and their general data were also collected. Differences in general data of seasonal infantile diarrhea complicated with convulsion were analyzed and difference terms were brought into the logistic regression equation to analyze causes of seasonal infantile diarrhea complicated with convulsion and provide targeted preventive measures. Results Of all research objects, 33 infants were complicated with convulsion, accounting for 3.30%. Infants with seasonal infantile diarrhea complicated with convulsion and those without seasonal infantile diarrhea complicated with convulsion are different in high fever, blood sodium, toxic bacillary dysentery andblood ealeium（P 〈 0.05）. Above factors were brought into the logistic regression equation and it showed that they are all influencing factors for seasonal infantile dian＇hea complicated with convulsion. Conclusion Seasonal infantile diarrhea can be affected by high fever, blood sodium, toxic bacillary dysentery and blood calcium and they can increase incidence rate of convulsion. Clinically, targeted prevention measures should be given to reduce the occurrence of seasonal infantile diarrhea complicated with convulsion.