济南市癫痫患儿流行病学调查研究与护理防范对策

Investigation and nursing countermeasures of epidemiology on epilepsy children in Jinan city

目的对济南市癫痫患儿进行流行病学调查研究并探讨相应的护理防范对策。方法选取2015年5月至2017年8月于济南市各级医院进行治疗的癫痫患儿300例为研究对象,采用多因素logistic回归分析法探讨环境、遗传等因素对癫痫的影响。结果产妇顺产、产伤、适龄怀孕、心理素质差、经常锻炼、具有癫痫家族史、脑血管史以及颅脑疾病均为导致患儿癫痫的独立影响因素。结论产妇顺产、适龄怀孕、经常锻炼是癫痫的保护性因素,产伤、心理素质差、具有癫痫家族史、脑血管史以及颅脑疾病均为诱发癫痫的独立危险因素,医务人员要提高警惕,防患于未然,降低或减少癫痫患儿的发病率。

Objective To investigate epidemiology on epilepsy children and nursing countermeasures in Jinan city. Methods Taking 300 cases of children with epilepsy who were treated in hospitals at all levels in Jinan from May 2015 to August 2017 as a study objects. By adopting the multivariate logistic regression to analysis and explore the impact of environmental, genetic and other factors on epilepsy. Results Natural birth, birth trauma, pregnancy of the right age, psychologically handicapped, regular exercise, family history of epilepsy, cerebrovascular history and cranial diseases were all the independent factors lead to epilepsy in children. Conclusion Natural birth, pregnancy of the right age, regular exercise are the protective factors of epilepsy, birth trauma, psychologically handicapped, family history of epilepsy, history of cerebrovascular and cerebral disease were independent risk factors lead to epilepsy, medical staffs should be alert and nip in the bud to reduce the incidence of epilepsy in children.