轻度胃肠炎伴良性婴幼儿惊厥的临床特征、预后及影响因素分析  

Analysis of clinical features,prognosis and influencing factors of benign infantile convulsions associated with mild gastroenteritis

作　　者：任方 彭建新 REN Fang;PENG Jianxin(Shaanxi Province Mian County Hospital,Hanzhong 724200,China)

机构地区：[1]陕西省勉县医院,陕西汉中724200

出　　处：《临床医学研究与实践》2021年第17期37-39,共3页Clinical Research and Practice

摘　　要：目的分析轻度胃肠炎伴良性婴幼儿惊厥(BICE)的临床特征、预后及影响因素。方法将96例BICE患儿纳入BICE组,80例单纯轻度胃肠炎患儿纳入对照组。比较两组的临床资料,并使用Logistic二元回归分析BICE发生的影响因素。结果BICE组中,76.04%的患儿惊厥发作时间为胃肠炎病程第1~3天,85.42%的患儿惊厥持续时间≤5 min。86.46%的患儿惊厥发作次数为1~2次,71.88%的患儿为全身性发作。随访2年发现,BICE组7.29%的患儿惊厥复发。两组的轮状病毒感染、有家族惊厥史患儿占比及血清锌、铁水平有显著差异(P<0.05)。二元Logistic分析结果显示,轮状病毒感染、有家族惊厥史、血清锌、铁水平均为影响BICE发生的主要因素(P<0.05)。结论BICE患儿的预后良好,但具有轮状病毒感染、家族惊厥史、血清锌、铁水平偏低等特征的轻度胃肠炎患儿更易发生BICE,临床应重视。Objective To analyze the clinical features,prognosis and influencing factors of benign infantile convulsions associated with mild gastroenteritis(BICE).Methods A total of 96 BICE children were included as BICE group,and 80 children with simple mild gastroenteritis were included as control group.The clinical data of the two groups were compared,and the influencing factors of BICE were analyzed by Logistic binary regression.Results In the BICE group,76.04%of the children had convulsions on the 1-3 d of the course of gastroenteritis,and 85.42%of the children had convulsions lasting≤5 min.The convulsions times of 86.46%children was 1-2 times,71.88%of the children had systemic seizures.After 2-year follow-up,7.29%of the children in the BICE group had recurrent convulsion.There were significant differences in the proportions of children with rotavirus infection,family history of convulsion,serum zinc and iron levels between the two groups(P<0.05).Binary Logistic analysis result showed that rotavirus infection,family history of convulsion,serum zinc and iron levels were the main factors affecting the occurrence of BICE(P<0.05).Conclusion The prognosis of children with BICE is good,but children with mild gastroenteritis characterized such as rotavirus infection,family history of convulsations,low serum zinc and iron levels are more likely to occur BICE,which should be paid attention to clinically.

关 键 词：轻度胃肠炎伴良性婴幼儿惊厥 临床特征 影响因素 预后 

分 类 号：R725[医药卫生—儿科]