梅州地区首次发作的小儿热性惊厥232例临床特征分析

Clinical Analysis of 232 Cases of the first time Febrile Convulsion in Children in Meizhou Area

目的分析与小儿热性惊厥首次发作的相关因素,为探讨临床防治方法提供参考依据。方法选择梅州市人民医院2016年12月—2017年11月收治的232例首次发作热性惊厥的患儿作为临床资料,并对患儿进行1年的随访,分析其临床特征。结果6个月~3岁为小儿热性惊厥首次发作的高发年龄段,其中男性患儿较多,大多数发作于春季或春夏交替的季节,多由上呼吸道感染引起,往往合并低钠血症同时多有脑电图或头颅影像学异常。结论小儿热性惊厥首次发作的影响因素为患儿的年龄、性别、发作季节,原发病等。因此,为预防小儿热性惊厥,应依据影响因素开展针对性措施。

Objective To analyze the factors related to the first time febrile convulsion in children,and to provide reference for the clinical prevention and treatment of febrile convulsion. Methods 232 children with febrile convulsion for the first time admitted to Meizhou People’s Hospital from December,2016 to November,2017 were selected as general clinical data,and the children were followed up for one year to analyze their clinical characteristics. Results The age of 6 months^3 years old was the high incidence of the first attack of fever-induced convulsion in children,among whom there were more male children,most of which occurred in the spring or the alternation of spring and summer,and were caused by upper respiratory tract infection,often accompanied by hyponatremia,and there were more eeg or cranial imaging abnormalities. Conclusion Age,sex,onset season and primary onset of febrile convulsion are the influencing factors for the first onset of febrile convulsion in children. Therefore,in order to prevent febrile convulsion in children,targeted measures should be carried out according to the influencing factors above.