惊厥次数与持续时间对热性惊厥患儿继发癫痫发作风险的预测价值  

Predictive Value of Frequency and Duration of Convulsions on the Risk of Secondary Epilepsy in Children with Febrile Seizures

作　　者：周秀梅 ZHOU Xiumei(Department of 2nd Ward of Pediatrics,Chifeng Municipal Hospital,Chifeng 024000,China)

机构地区：[1]内蒙古自治区赤峰市医院儿科二病区,内蒙古赤峰024000

出　　处：《中国伤残医学》2025年第7期115-119,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析惊厥次数、持续时间与热性惊厥患儿继发癫痫的关系及对其继发癫痫的预测价值。方法:回顾性分析2022年4月—2024年4月赤峰市医院儿科二病区收治的90例热性惊厥患儿资料,根据患儿是否继发癫痫为将其分为癫痫组(n=19)及正常组(n=71)。收集癫痫组患儿的惊厥次数、持续时间,以Pearson相关分析对二者与热性惊厥患儿继发癫痫的关系进行分析。结果:90例热性惊厥患儿中,共19例继发癫痫,发生率为21.11%。惊厥次数持续时间均可对热性惊厥患儿是否继发癫痫进行正向预测(P<0.05)。继发癫痫在热性惊厥患儿惊厥次数、持续时间间的中介效应成立,中介效应值为-0.079,占比为31.9%。结论:惊厥次数、持续时间与热性惊厥患儿继发癫痫间具有关联性,且惊厥次数、持续时间对其继发癫痫表现出一定的预测价值。Objective:To analyze the relationship between the frequency,duration of convulsions and secondary epilepsy in children with febrile seizures and its predictive value.Methods:A retrospective analysis was conducted on the data of 90 children with febrile seizures admitted to the 2nd Ward of Pediatrics of Chifeng Municipal Hospital from April 2022 to April 2024.According to whether the children had secondary epilepsy,they were divided into the epilepsy group(n=19)and the normal group(n=71).The frequency and duration of convulsions in the epilepsy group were collected,and the relationship between them and secondary epilepsy in children with febrile seizures were analyzed by Pearson correlation analysis.Results:Among 90 children with febrile seizures,19 cases had secondary epilepsy,the incidence was 21.11%.The frequency of convulsions and the duration of convulsions were positive predictor,of secondary epilepsy in children with febrile seizures.The mediating effect of secondary epilepsy on the frequency and duration of convulsions in children with febrile seizures was established,and the mediating effect value was-0.079,accounting for 31.9%.Conclusion:The frequency and duration of convulsions are correlated with secondary epilepsy in children with febrile seizures,and the frequency and duration of convulsions are predictive of secondary epilepsy.

关 键 词：热性惊厥 惊厥次数 持续时间 癫痫 发作风险预测 

分 类 号：R720.597[医药卫生—急诊医学]