儿童热性惊厥呼吸道疾病病原检测结果与其预后的分析  

Analysis of pathogen detection results and prognosis of respiratory diseases in children with febrile seizures

作　　者：曾乃刚 麦乐民 毛丽明 ZENG Nai-gang;MAI Le-ming;MAO Li-ming(Department of Pediatrics,Chang'an Hospital,Dongguan City,Dongguan 523843,China)

机构地区：[1]东莞市长安医院儿科,广东东莞523843

出　　处：《中国处方药》2023年第12期177-180,共4页Journal of China Prescription Drug

摘　　要：目的分析儿童热性惊厥呼吸道疾病病原检测结果,探究影响热性惊厥患儿预后的因素。方法选取2022年5月~2023年5月期间入院的热性惊厥患儿80例。收集患儿的临床资料及相关病原体检测结果,并对患儿预后进行随访,单因素及多因素Logistic分析影响热性惊厥儿童预后的因素。结果80例患者检出的病原菌中,乙型流感病毒占比最多,为31株(38.75%),其次为甲型流感病毒21株(26.25%)。年龄、早产、惊厥性质、惊厥发生次数、惊厥持续时间、病原体检测结果是影响热性惊厥儿童预后的相关因素(P<0.05)。多因素Logistic回归分析结果显示,年龄<3岁、早产、复杂性惊厥、惊厥发生次数≥2次、惊厥持续时间≥30 min、病原体检测结果阳性均是影响热性惊厥儿童预后的危险因素。结论乙型流感病毒、甲型流感病毒是导致热性惊厥儿童发病的主要病原,年龄<3岁、早产、复杂性惊厥、惊厥发生次数≥2次、惊厥持续时间≥30 min、病原体检测结果阳性均是影响热性惊厥儿童预后的危险因素,临床在治疗时应重视上述因素,加强对儿童的疫苗接种率,以改善患儿的预后。Objective To analyze the results of pathogen detection for respiratory diseases in children with febrile seizures and explore the factors affecting the prognosis of children with febrile seizures.Methods 80 children with febrile seizures admitted between May 2022 and May 2023 were selected.Collect clinical data and relevant pathogen detection results of the children,and follow up the prognosis of the children.Analyze the factors that affect the prognosis of children with febrile seizures using univariate and multivariate logistic analysis.Results Among the pathogenic bacteria detected in 80 patients,the proportion of influenza B virus was the highest,with 31 strains(38.75%),followed by 21 strains(26.25%)of influenza A.Age,premature delivery,nature of seizures,frequency of seizures,duration of seizures,and pathogen testing results are related factors that affect the prognosis of children with febrile seizures(P<0.05).The results of multivariate Logistic regression analysis showed that age<3 years old,premature delivery,complex seizures,seizures≥2 times,seizures duration≥30 minutes,and positive pathogen test results were all risk factors affecting the prognosis of children with febrile seizures.Conclusion Influenza B virus and influenza A virus are the main pathogens causing febrile seizures in children.Age<3 years old,premature delivery,complex seizures,seizures≥2 times,seizures lasting≥30 minutes,and positive pathogen testing results are all risk factors that affect the prognosis of children with febrile seizures.Clinical treatment should pay attention to these factors,strengthen the vaccination rate of children,and improve the prognosis of children.

关 键 词：热性惊厥 呼吸道病原菌 发热 预后性 影响因素 

分 类 号：R720.597[医药卫生—急诊医学]