CAJ | 학술논문

目的通过对38例小儿惊厥临床特点的观察及治疗，探讨早期干预的临床疗效。方法对选取38例小儿惊厥患者的病因、惊厥发作形式、发作次数、持续时间、脑电图和临床治疗效果及复发情况予以观察和相关数据的分析。结果在38例小儿惊厥者中，以高热所致惊厥发生率最高，且明显高于维生素D缺乏、颅内感染、颅内出血、癫痫、神经系统病变的发生率，差异均有统计学意义（χ2值分别为6．940、7．869、8．630、9．082、10．000，均P＜0．05）；发作形式以单纯型发生率最高（81．58％）、发作次数以1次发生率最高（84．21％）、发作持续时间以5min以内发生率最高（94．74％）；治疗总有效率达92．11％、复发率占10．53％。结论明确小儿惊厥的病因、加强临床特点分析对早期诊断以及根据病因采取相应措施及时控制惊厥具有重要的临床价值。
목적통과대38례소인량궐림상특점적관찰급치료，탐토조기간예적림상료효。방법대선취38례소인량궐환자적병인、량궐발작형식、발작차수、지속시간、뇌전도화림상치료효과급복발정황여이관찰화상관수거적분석。결과재38례소인량궐자중，이고열소치량궐발생솔최고，차명현고우유생소D결핍、로내감염、로내출혈、전간、신경계통병변적발생솔，차이균유통계학의의（χ2치분별위6．940、7．869、8．630、9．082、10．000，균P＜0．05）；발작형식이단순형발생솔최고（81．58％）、발작차수이1차발생솔최고（84．21％）、발작지속시간이5min이내발생솔최고（94．74％）；치료총유효솔체92．11％、복발솔점10．53％。결론명학소인량궐적병인、가강림상특점분석대조기진단이급근거병인채취상응조시급시공제량궐구유중요적림상개치。
Objective To explore the clinical curative effect of early intervention by observing the clinical characteristics of 38 cases of infantile convulsion and giving treatment to them .Methods The etiology, seizure form, seizure frequency, duration, EEG, clinical therapeutic effect and recurrence of 38 cases of infantile convulsion were observed and analyzed .Results In 38 cases of infantile convulsion, the incidence of convulsion caused by high fever was highest , and it was significantly higher than that caused by vitamin D deficiency , intracranial infection , intracranial hemorrhage , epilepsy and nervous system lesions . The differences were statistically significant(χ2 values was 6.940, 7.869, 8.630, 9.082 and 10.000, respectively, all P<0.05).The incidence of simplex attack was highest(81.58%) in form, that of single attack was highest (84.21%) in attack frequency, and that of attack lasting shorter than 5 minutes was highest(94.74%) in attack duration.The total effective rate was 92.11%and recurrence rate was 10.53%.Conclusion Defining the etiology of infantile convulsion and strengthening analysis of clinical characteristics are very important for early diagnosis and timely control measures .