中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
CHINESE PEDIATRIC EMERGENCY MEDICINE
2013年
5期
498-500
,共3页
热性惊厥%复发%体温%年龄%儿童
熱性驚厥%複髮%體溫%年齡%兒童
열성량궐%복발%체온%년령%인동
Febrile seizure%Recurrence rate%Body temperature%Age%Children
目的 探讨热性惊厥初次发作时体温高低、开始发热到抽搐的时间及年龄与热性惊厥复发的关系.方法 2004年1月至2006年6月收住我院以热性惊厥起病的192例患儿,根据初次发作时体温的高低将患儿分为3组:体温＞40.0℃组,～40.0℃组,≤38.5℃组；根据开始发热到抽搐的时间分为3组:惊厥发作前发热持续时间≤6 h组,～24 h组,＞24h组；根据年龄分为4组:≤6个月组,～18个月组,～3岁组,＞3岁组.比较各组患儿热性惊厥的复发率及随访情况.结果 所有病例随访至6周岁,失访22例,随访率为88.5％ (170/192).随访的170热性惊厥患儿中,体温＞40.0℃组、～40.0℃组、≤38.5℃组热性惊厥的复发率分别为32.6％ (15/46)、51.1％ (46/90)和79.4％ (27/34),3组复发率比较,差异均有统计学意义(x2=17.18,P＜0.05).惊厥发作前发热持续时间≤6 h组、～24h组、＞24h组复发率分别为70.7％ (29/41)、51.6％ (49/95)和29.4％(10/34),3组复发率比较,差异均有统计学意义(x2=12.71,P ＜0.05).不同初次发作年龄组间热性惊厥的复发率比较[84.6％(22/26) vs63.4％ (45/71) vs 39.5％ (15/38) vs 17.1％ (6/35)],差异均有统计学意义(x2=34.17,P＜0.05).结论 热性惊厥初次发作时年龄越小、体温越低及惊厥发作前发热持续时间越短,热性惊厥复发率越高.
目的 探討熱性驚厥初次髮作時體溫高低、開始髮熱到抽搐的時間及年齡與熱性驚厥複髮的關繫.方法 2004年1月至2006年6月收住我院以熱性驚厥起病的192例患兒,根據初次髮作時體溫的高低將患兒分為3組:體溫＞40.0℃組,～40.0℃組,≤38.5℃組；根據開始髮熱到抽搐的時間分為3組:驚厥髮作前髮熱持續時間≤6 h組,～24 h組,＞24h組；根據年齡分為4組:≤6箇月組,～18箇月組,～3歲組,＞3歲組.比較各組患兒熱性驚厥的複髮率及隨訪情況.結果 所有病例隨訪至6週歲,失訪22例,隨訪率為88.5％ (170/192).隨訪的170熱性驚厥患兒中,體溫＞40.0℃組、～40.0℃組、≤38.5℃組熱性驚厥的複髮率分彆為32.6％ (15/46)、51.1％ (46/90)和79.4％ (27/34),3組複髮率比較,差異均有統計學意義(x2=17.18,P＜0.05).驚厥髮作前髮熱持續時間≤6 h組、～24h組、＞24h組複髮率分彆為70.7％ (29/41)、51.6％ (49/95)和29.4％(10/34),3組複髮率比較,差異均有統計學意義(x2=12.71,P ＜0.05).不同初次髮作年齡組間熱性驚厥的複髮率比較[84.6％(22/26) vs63.4％ (45/71) vs 39.5％ (15/38) vs 17.1％ (6/35)],差異均有統計學意義(x2=34.17,P＜0.05).結論 熱性驚厥初次髮作時年齡越小、體溫越低及驚厥髮作前髮熱持續時間越短,熱性驚厥複髮率越高.
목적 탐토열성량궐초차발작시체온고저、개시발열도추휵적시간급년령여열성량궐복발적관계.방법 2004년1월지2006년6월수주아원이열성량궐기병적192례환인,근거초차발작시체온적고저장환인분위3조:체온＞40.0℃조,～40.0℃조,≤38.5℃조；근거개시발열도추휵적시간분위3조:량궐발작전발열지속시간≤6 h조,～24 h조,＞24h조；근거년령분위4조:≤6개월조,～18개월조,～3세조,＞3세조.비교각조환인열성량궐적복발솔급수방정황.결과 소유병례수방지6주세,실방22례,수방솔위88.5％ (170/192).수방적170열성량궐환인중,체온＞40.0℃조、～40.0℃조、≤38.5℃조열성량궐적복발솔분별위32.6％ (15/46)、51.1％ (46/90)화79.4％ (27/34),3조복발솔비교,차이균유통계학의의(x2=17.18,P＜0.05).량궐발작전발열지속시간≤6 h조、～24h조、＞24h조복발솔분별위70.7％ (29/41)、51.6％ (49/95)화29.4％(10/34),3조복발솔비교,차이균유통계학의의(x2=12.71,P ＜0.05).불동초차발작년령조간열성량궐적복발솔비교[84.6％(22/26) vs63.4％ (45/71) vs 39.5％ (15/38) vs 17.1％ (6/35)],차이균유통계학의의(x2=34.17,P＜0.05).결론 열성량궐초차발작시년령월소、체온월저급량궐발작전발열지속시간월단,열성량궐복발솔월고.
Objective To explore the relationship of recurrence rate and the age and body temperature of fitrst febrile seizures (FS) in children.Methods One hundred and ninety-two cases of FS admitted to our hospital from Jan 2004 to Jun 2006,were divided into three groups according to the initial onset of body temperature with FS:＞40.0 ℃,～40.0 ℃,≤38.5 ℃ ;three groups according to the duration between fever initiation and seizure attack:≤6 h,～ 12 h,～24 h,＞24 h;four groups according to age:≤6 months,～ 18 months,～ 3 years,＞ 3 years.For each group of children with FS,the recurrence rate and follow-up were compared.Results All cases were followed up to 6 years old,22 cases were lost,and the follow-up rate was 88.5％ (170/192).Follow-up of 170 children with FS,the recurrence rate was 32.6％ (15/46),51.1％ (46/90) and 79.4 ％ (27/34) in each group of temperature ＞ 40.0 ℃,～ 40.0 ℃,and ≤ 38.5 ℃.There were statistically significant among three groups (x2 =17.18,P ＜ 0.05).Duration of fever before seizures ≤ 6 h group,～24 h group,＞ 24 h group,the recurrence rate were 70.7 ％ (29/41),51.6％ (49/95) and 29.4％ (10/34) respectively,the recurrence rate was significant difference among the three groups(x2 =12.71,P ＜0.05).The recurrence rate of different age groups in initial attack of FS were 84.6％ (22/26),63.4％ (45/71),39.5％ (15/38),17.I％ (6/35),the differences were statistically significant (x2 =34.17,P ＜ 0.05).Conclusion There was higher recurrence rate of febrile seizure in small children,lower body temperature and shorter duration between fever initiation and seizure attack.
