手足口病合并脑炎患儿60例的临床特点与脑电分析探究实践  

Exploratory practice of clinical characteristics and EEG analysis of 60 children with hand-foot-mouth disease combined with encephalitis

作　　者：杨德慧 潘廷辉 何忠[2] YANG Dehui;PAN Tinghui;HE Zhong(Pingsha Hospital of Zhuhai City,Zhuhai 519055,China;Zhuhai Maternal and Child Health Hospital,Zhuhai 519000,China)

机构地区：[1]广东省珠海市平沙医院,广东珠海519055 [2]广东省珠海市妇幼保健院,广东珠海519000

出　　处：《中国医药科学》2020年第2期90-92,共3页China Medicine And Pharmacy

摘　　要：目的探讨手足口病合并脑炎患儿60例的临床特点与脑电分析特点。方法选取珠海市妇幼保健院于2008年1月~2018年12月收治的手足口病合并脑炎患儿60例作为此次研究的观察对象,而后对该病症的临床特点进行分类与总结,并对其进行脑电图检查后所产生的结果进行分析。结果临床表现:急性起病患儿有36例(60%),亚急性起病患儿有24例(40%)。并发症:肢体抖动或惊跳有55例(91.67%),头痛头晕或呕吐患儿有39例(65%),肢体乏力患儿有9例(15%),精神异常患儿有4例(6.67%),听力或视力下降患儿有2例(3.33%),嗜睡患儿有14例(23.33%),感觉异常患儿有4例(6.67%)。体征:脑膜刺激征52例(86.67%),锥体束征阳性有8例(13.33%),意识障碍有14例(23.33%)。脑电图检查结果:60例手足口病患儿经脑电图检查后发现,脑电图异常现象有54例(90%),其中轻度异常有12例(22.22%),中度异常有30例(55.56%),重度异常有12例(22.22%)。结论对手足口病合并脑炎患儿进行临床特点分析发现,以急性起病临床表现、肢体抖动或惊跳并发症及脑膜刺激征体征最为典型,对其进行脑电图检查可实现该病症的有效诊断,且可反映患儿病症的轻重度,具有较高的临床应用价值。Objective To discuss clinical characteristics and EEG analysis of 60 children with hand-foot-mouth disease combined with encephalitis.Methods 60 children with hand-foot-mouth disease combined with encephalitis who were admitted and treated in Zhuhai Maternal and Child Health Hospital from January 2008 to December 2018 were selected as research objects in the study.The clinical features of the disease were classified and summarized,and the results of the EEG examination were analyzed.Results Clinical manifestations:36 children were with acute onset,accounting for 60%,and 24 patients were with subacute onset,accounting for 40%.Complications:There were 55 cases of limb shaking or convulsion,accounting for 91.67%,39 cases of headache,dizziness or vomiting,accounting for 65%,9 cases of limb weakness,accounting for 15%,4 cases of mental disorders,accounting for 6.67%,2 cases of hearing or vision loss,accounting for 3.33%,14 cases of sleepiness,accounting for 23.33%and 4 cases of paresthesia,accounting for 6.67%.Signs:There were 52 cases of meningeal irritation,accounting for 86.67%,8 cases of positive pyramidal tract sign,accounting for 13.33%and 14 cases of disturbance of consciousness,accounting for 23.33%.EEG examination result:EEG examination results of 60 children with hand-foot-mouth disease showed 54 cases were with abnormal EEG,accounting for 90%.Among them,there were 12 cases with mild abnormalities,accounting for 22.22%;30 cases with moderate abnormalities,accounting for 55.56%;12 cases with severe abnormalities,accounting for 22.22%.Conclusion The clinical characteristics of children with foot and mouth disease combined with encephalitis found that the clinical manifestations of acute onset,complications of limb shaking or convulsion and signs of meningeal irritation were the most typical.EEG examination can achieve an effective diagnosis of the disease,which can reflect the severity of the children’s disease and has higher clinical applicative values.

关 键 词：手足口病 脑炎 临床特点 脑电分析 

分 类 号：R725.1[医药卫生—儿科]