轻度胃肠炎伴良性婴幼儿惊厥复发的危险因素分析  

Risk factors for recurrence of benign infantile convulsions associated with mild gastroenteritis

作　　者：石凯丽 杨洁辉 李瑞芳 Shi Kaili;Yang Jiehui;Li Ruifang(Department of Neurology,Guangzhou Women and Childrens Medical Center,Guangzhou,Guangdong 510623,China;Department of Neurology,Children's Hospital of Shanxi Province,Taiyuan,Shanxi 030013,China)

机构地区：[1]广州市妇女儿童医疗中心神经内科,510623 [2]山西省儿童医院神经内科,太原030013

出　　处：《中国基层医药》2020年第13期1546-1549,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：山西省儿童医院科研课题(201527)。

摘　　要：目的分析轻度胃肠炎伴良性婴幼儿惊厥(BICE)复发的危险因素。方法选择山西省儿童医院2010年4月至2015年3月住院确诊的BICE患儿530例为观察对象,对其临床资料进行回顾性分析,并对患儿进行3.5~8.5年的随访,结合患儿的临床特点,分析其复发的危险因素。结果 530例BICE患儿中29例复发,复发率6.1%。复发危险因素与首次发作年龄≤18个月有关(发作年龄≤18个月复发率为8.3%,>18个月复发率为2.8%)(χ^2=4.127,P<0.05),与性别、发病季节、惊厥次数、惊厥持续时间等无关(均P>0.05)。结论 BICE患儿有复发的可能,首次发作年龄≤18个月为复发的可能危险因素,对该类患儿应密切随访,采取适当的干预措施。Objective To study the risk factors of recurrence of benign infantile convulsions associated with mild gastroenteritis(BICE).Methods From April 2010 to March 2015,530 children with BICE admitted to Children's Hospital of Shanxi Province were selected,the clinical data were retrospectively analyzed.The patients were followed up for 3.5~8.5 years.The risk factors of recurrence were analyzed based on the clinical characteristics of the children.Results Of 530 children with BICE,relapse occurred in 29 patients(6.1%).The risk factor of recurrence was related to the age of the first attack≤18 months(the age of the first attack≤18 months:8.3%,>18 months:2.8%)(χ^2=4.127,P<0.05),but had no relation with gender,onset season,frequency and duration of convulsion(all P>0.05).Conclusion Children with BICE have the possibility of recurrence.The age of the first onset≤18 months is a risk factor for recurrence,these children should be closely followed up and appropriate intervention measures should be taken.

关 键 词：胃肠炎 发作 复发 危险因素 年龄因素 婴儿 回顾性研究 

分 类 号：R720.597[医药卫生—急诊医学] R725.7[医药卫生—儿科]