CAJ | 학술논문

目的：探讨影响小儿重症病毒性脑炎预后的各种相关危险因素。方法：按预后的结果将150例小儿重症病毒性脑炎患者分为预后好组（A组）和预后差组（B组），对其临床资料进行回顾性分析。结果：B组病程进展速度较A组快、意识障碍程度即Glasgow评分较A组低，意识障碍持续时间、发热时间、惊厥持续时间较A组长，以精神行为异常为主要表现者比例较A组高，脑干颅神经损害比例较A组高，脑电图重度异常、MRI异常的比例均高于A组，且差异均有统计学意义（P<0.05）。结论：小儿病毒性脑炎预后差的相关危险因素复杂多样，应引起足够重视，进行积极有序的综合治疗。
목적：탐토영향소인중증병독성뇌염예후적각충상관위험인소。방법：안예후적결과장150례소인중증병독성뇌염환자분위예후호조（A조）화예후차조（B조），대기림상자료진행회고성분석。결과：B조병정진전속도교A조쾌、의식장애정도즉Glasgow평분교A조저，의식장애지속시간、발열시간、량궐지속시간교A조장，이정신행위이상위주요표현자비례교A조고，뇌간로신경손해비례교A조고，뇌전도중도이상、MRI이상적비례균고우A조，차차이균유통계학의의（P<0.05）。결론：소인병독성뇌염예후차적상관위험인소복잡다양，응인기족구중시，진행적겁유서적종합치료。
Objective:To investigate the related risk factors of prognosis in children with severe viral encephalitis.Method:150 patients with severe viral encephalitis in children were divided into good prognosis group(A group)and poor prognosis group(B group) according to the prognosis result,the clinical data were retrospectively analyzed.Result:Progression of Group B was faster than that of group A.Level of consciousness that Glasgow score was lower than that of group A,the time of disturbance of consciousness,the heating time,seizure duration was longer than those of group A.The ratio of mental behavior,the injury of cranial nerve and brainstem,the EEG abnormality and the MRI abnormality were higher than those of group A.The difference were statistically significant(P<0.05).Conclusion:The risk of poor prognosis in children with viral encephalitis complicated and diversified factors,we should pay more attention to it and comprehensive treatment of active and orderly.