河源地区小儿急性惊厥发作病因研究  

Etiology of Acute Convulsion in Children in Heyuan Area

作　　者：颜科 李路冷 利燕辉 Yan Ke;Li Luleng;Li Yanhui(Heyuan Maternal and Child Health Hospital,Heyuan 517000,Guangdong Province,China)

机构地区：[1]河源市妇幼保健院,广东河源517000

出　　处：《中外医药研究》2023年第32期156-158,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析河源地区小儿急性惊厥的发作病因及特点,为该地区小儿急性惊厥的早期诊断和治疗提供参考。方法:回顾性分析河源市妇幼保健院2022年1—12月因急性惊厥而进行诊疗的28 d~14岁患儿200例的临床资料,分析患儿一般资料、小儿急性惊厥发作病因,比较三类主要病因性别、年龄段、发病季节分布情况。结果:前3位小儿急性惊厥发作病因为发热性惊厥、癫痫、胃肠炎伴惊厥,占比分别为86.5%、4.0%、3.5%;颅脑外伤占比最低,为0.5%;三类主要病因发热性惊厥、癫痫、胃肠炎伴惊厥性别分布比较,差异无统计学意义(P>0.05);三类主要病因年龄段分布比较,差异有统计学意义(P<0.05);三类主要病因发病季节分布比较,差异有统计学意义(P<0.05)。结论:河源地区小儿急性惊厥发作病因前3位为发热性惊厥、癫痫、胃肠炎伴惊厥,其中以发热性惊厥最高,<1岁年龄段癫痫和胃肠炎伴惊厥发病率最高,发热性惊厥在四季均有较多病例,但癫痫主要发于春夏季,而胃肠炎伴惊厥多发于秋冬季。医疗人员应根据患儿病史和临床主要特征,结合临床检查,明确患儿急性惊厥发作的病因,并进行对症治疗和干预。Objective:To analyze the etiology and characteristics of acute convulsion in children in Heyuan area,and to provide reference for early diagnosis and treatment of acute convulsion in children in Heyuan area.Methods:The clinical data of 200 cases of children aged 28 d-14 years who were treated for acute convulsion in Heyuan Maternal and Child Health Hospital from January to December 2022 were retrospectively analyzed,the general data of children and the causes of acute convulsion in children were analyzed,and the distribution of the three main causes,including gender,age and season of onset were compared.Results:Febrile convulsion,epilepsy,gastroenteritis with convulsion accounted for 86.5%,4.0%and 3.5%,respectively,the proportion of craniocerebral trauma was the lowest(0.5%);there was no significant difference in the sex distribution of febrile convulsion,epilepsy,gastroenteritis with convulsion(P>0.05);the age distribution of the three main causes was compared,and the difference was statistically significant(P<0.05);there was statistical significance in the seasonal distribution of the three main causes(P<0.05).Conclusion:The top 3 causes of acute convulsion in children in Heyuan area are febrile convulsion,epilepsy and gastroenteritis with convulsion,among which febrile convulsion is the highest,and the incidence of epilepsy and gastroenteritis with convulsion is the highest in the age of<1 year.Febrile convulsion has more cases in all seasons,but epilepsy mainly occurs in spring and summer,while gastroenteritis with convulsion mostly occurs in autumn and winter.Medical personnel should be based on the medical history and clinical characteristics of children,combined with clinical examination,identify the cause of acute convulsive attacks in children,and carry out symptomatic treatment and intervention.

关 键 词：河源地区 急性惊厥 小儿 

分 类 号：R72[医药卫生—儿科]