热性惊厥儿童额颞叶区脑电图异常与疾病特征及预后的关系  

Correlations of electroencephalogram abnormalities in the frontotemporal region with clinical characteristics and prognosis of febrile convulsions in children

作　　者：冯燕玲 Feng Yanling(Department of Function,the Third People’s Hospital of Henan Province,Zhengzhou 450000,China)

机构地区：[1]河南省直第三人民医院功能科,郑州450000

出　　处：《中国实用医刊》2024年第18期48-51,共4页Chinese Journal of Practical Medicine

摘　　要：目的分析热性惊厥儿童额颞叶区脑电图异常与疾病特征及预后的关系。方法回顾性抽取2020年6月至2023年6月河南省直第三人民医院收治的68例高热性惊厥患儿,均进行脑电图扫描,其中额颞叶区脑电图正常38例(对照组)和不正常30例(研究组)。比较两组临床疾病特征,比较两组预后(发生癫痫以及热性惊厥复发的情况)。结果两组性别、热性惊厥类型、惊厥发作时状态、惊厥家族史情况比较差异未见统计学意义(P>0.05);两组年龄、惊厥发作类型、癫痫家族史、惊厥发作持续时间、24 h内惊厥发作次数、发热温度情况比较,差异有统计学意义(P<0.05)。随访3个月,研究组癫痫发生率(16.67%,5/30)、惊厥复发率(40.00%,12/30)高于对照组(2.63%,1/38;15.79%,6/38),P<0.05。结论年龄、惊厥发作类型、癫痫家族史、惊厥发作持续时间、24 h内惊厥发作次数、发热温度与额颞叶区脑电图异常有关,且额颞叶区脑电图异常的热性惊厥儿童预后更差,更容易在日后复发惊厥,甚至发生癫痫。Objective To analyze the correlation of electroencephalogram abnormalities in the frontotemporal region with clinical characteristics and prognosis of febrile convulsions in children.Methods Sixty-eighty children with febrile convulsions admitted to the Third People’s Hospital of Henan Province from June 2020 to June 2023 was retrospectively selected,and all of them underwent electroencephalogram scans,including 38 cases with normal electroencephalogram in the frontotemporal region(the control group)and 30 cases with abnormal results(the study group).The clinical characteristics of the two groups were compared.The prognosis(occurrence of epilepsy and the recurrence of febrile convulsions)of the two groups were compared.Results There was no significant difference in gender,type of febrile convulsions,convulsive seizure status,and family history of convulsions between the two groups(P>0.05).There were significant differences in age,type of convulsive seizure,family history of epilepsy,duration of convulsions,frequency of convulsive seizures within 24 hours,and febrile temperature between the two groups(P<0.05).After 3 months of follow-up,the incidence of epilepsy(16.67%,5/30)and the recurrence rate of febrile convulsions(40.00%,12/30)in the study group were higher than those in the control group(2.63%,1/38;15.79%,6/38),P<0.05.Conclusions Age,type of febrile convulsions,family history of epilepsy,duration of convulsive seizures,frequency of convulsive seizures within 24 hours,febrile temperature were associated with abnormal electroencephalogram in the frontotemporal region in children with febrile convulsions.Moreover,among children with febrile convulsions,children with abnormal electroencephalogram in the frontotemporal region have a more poor prognosis,and are more likely to have recurrent convulsions,even develop epilepsy.

关 键 词：热性惊厥 额颞叶区 脑电图 预后 

分 类 号：R720.597[医药卫生—急诊医学]