小儿腹泻患儿并发良性惊厥的临床特点及影响因素分析  

Clinical Characteristics and Influencing Factors of Benign Convulsion in Children with Diarrhea

作　　者：杨再兰 YANG Zailan(Department of Pediatric Neurological Rehabilitation,Shanghai Children's Medical Center Guizhou Hospital,Guiyang 550001,China)

机构地区：[1]上海儿童医学中心贵州医院儿童神经康复科,贵州贵阳550001

出　　处：《反射疗法与康复医学》2024年第12期111-113,共3页Reflexology And Rehabilitation Medicine

摘　　要：目的分析小儿腹泻患儿并发良性惊厥的临床特征与影响因素。方法选取2021年8月—2023年8月上海儿童医学中心贵州医院收治的125例小儿腹泻患儿为研究对象,统计其良性惊厥发生率及疾病特征;另收集患儿的年龄、性别等资料,探讨其并发良性惊厥的相关影响因素。结果125例小儿腹泻患儿中,有23例(18.40%)发生良性惊厥。23例小儿腹泻并发良性惊厥患儿中,以发生惊厥次数≥2次最为常见,共17例(73.91%),其次为发生惊厥次数1次,共6例(26.09%);惊厥持续时间以≤5 min常见,共18例(78.26%),>5 min共5例(21.74%);惊厥类型以全面性发作较为常见,共16例(69.57%),其次为部分性发作,共7例(30.43%)。单因素分析显示:性别、发病季节、脱水、腹泻次数、呕吐次数、白细胞计数水平同小儿腹泻患儿良性惊厥的发生无关(P>0.05);年龄、血钙水平、血锌水平同小儿腹泻患儿良性惊厥的发生有关(P<0.05)。Logistic回归分析结果显示:年龄<2岁、血钙水平高、血锌水平低为小儿腹泻患儿并发良性惊厥发生的独立危险因素(P<0.05)。结论年龄<2岁、血钙水平高、血锌水平低为小儿腹泻患儿并发良性惊厥发生的独立危险因素。Objective To analyze the clinical characteristics and influencing factors of benign convulsion in children with diarrhea.Methods One hundred and twenty-five children with diarrhea admitted to Shanghai Children's Medical Center Guizhou Hospital from August 2021 to August 2023 were selected as the research objects.The incidence and disease characteristics of benign convulsions were analyzed,and the age,gender and other data of the children were collected.The related influencing factors of benign convulsion were explored.Results Among 125 children with diarrhea,23 cases(18.40%)had benign convulsion.Among the 23 children with diarrhea complicated with benign convulsions,17 cases(73.91%)had convulsions≥2 times,followed by 6 cases(26.09%)had convulsions 1 time;the duration of convulsion≤5 min was common in 18 cases(78.26%),and>5 min in 5 cases(21.74%);16 cases of general seizure was the most common type(69.57%),followed by 7 cases of partial seizure(30.43%).Univariate analysis showed that gender,season of onset,dehydration,frequency of diarrhea,frequency of vomiting and leukocyte count were not correlated with benign convulsions in children with diarrhea(P>0.05);age,blood calcium level and blood zinc level were correlated with benign convulsion in children with diarrhea(P<0.05).Logistic regression analysis results showed:Age<2 years,high blood calcium level,low blood zinc level was an independent risk factor for benign convulsion in children with diarrhea(P<0.05).Conclusion Age<2 years,high blood calcium level and low blood zinc level are independent risk factors for benign convulsion in children with diarrhea.

关 键 词：腹泻 良性惊厥 影响因素 发热 血钙 白细胞计数 

分 类 号：R725.7[医药卫生—儿科]