幼儿急疹合并热性惊厥发作的危险因素分析

Risk Factors of Infantile Rash with Febrile Seizures

目的分析幼儿急疹合并热性惊厥发作的危险因素,探究其临床价值。方法选取该院于2018年1月—2019年2月收治的600例急疹患儿作为该次的研究对象,按照是否发作热性惊厥将其分为对照组和观察组,对照组490例患儿未发作热性惊厥,观察组110例患儿合并热性惊厥,对两组患儿的临床基本资料进行回顾性分析,探究引发幼儿急疹合并热性惊厥发作的危险因素。结果对两组患儿的临床基本资料进行比较得出:两组患儿的性别、最高体温、发热持续时间、出疹持续时间等方面的差异无统计学意义﹙χ2=0.078、0.000、0.065、0.005,P=0.812、0.989、0.743、0.956﹚;两组患儿的年龄(观察组<12个月为25.45%大于对照组为7.96%)以及家族病史(观察组为88.18%大于对照组为34.90%)之间差异有统计学意义﹙χ2=25.124、28.452,P=0.000、0.000﹚,经Logistic回归分析结果得出急疹幼儿合并热性惊厥发作与患儿的年龄(OR=1.436,P=0.000)以及家族病史(OR=1.236,P=0.000)具有相关性。结论急疹幼儿的年龄以及家族病史是引发患儿热性惊厥发作的危险因素,在临床治疗中应对年龄低于12个月以及存在家族病史的患儿进行着重关注,采取有效的预防措施,降低热性惊厥的发生。

Objective To analyze the risk factors of infantile rash combined with febrile seizures and explore its clinical value.Methods 600 children with acute rash treated in the hospital from January 2018 to February 2019 were selected as the subjects of this study.They were divided into control group and observation group according to whether febrile seizures occurred,and 490 patients in the control group had no febrile seizures occurred in the children.Observation group of 110 children with febrile convulsions.Retrospective analysis of clinical basic data of the two groups of children was conducted to explore the risk factors that caused infantile rash and febrile seizures.Results After comparing the basic clinical data of the two groups of children,it was concluded that there were no significant differences in gender,maximum body temperature,duration of fever,duration of rash,etc.among the two groups of children,the difference was not statistically significant﹙χ2=0.078、0.000、0.065、0.005,P=0.812、0.989、0.743、0.956﹚;the age of the children in the two groups(25.45%in the observation group<12 months was greater than 7.96%in the control group)and family history(there was a significant difference between the observation group of 88.18%and the control group of 34.90%),the difference was statistically significant﹙χ2=25.124、28.452,P=0.000、0.000﹚.Logistic regression analysis showed that children with acute rash and febrile seizures and children age(OR=1.436,P=0.000)and family history(OR=1.236,P=0.000)were correlated.Conclusion The age and family history of young children with acute rash are risk factors for febrile seizures in children.In clinical treatment,attention should be paid to children younger than 12 months with family history,and effective preventive measures should be taken to reduce fever occurrence of convulsions.