中国当代儿科杂志Issue(2)：176-179,4.DOI:10.7499/j.issn.1008-8830.2015.02.014
儿童热性惊厥临床特征及其变化趋势
Changing trends and clinical characteristics of febrile seizures in children
李宁 1陈言钊 2周克英2
作者信息
- 1. 南方医科大学附属深圳妇幼保健院儿科，广东深圳 518000
- 2. 暨南大学第二临床医学院深圳市人民医院儿科，广东深圳 518020
- 折叠
摘要
Abstract
Objective To investigate the clinical characteristics and changing trends of febrile seizures (FS) in children. Methods The clinical data of 1 922 children with FS admitted from 2004 to 2013 were analyzed retrospectively. The clinical characteristics and changing trends of FS in the two ifve-year periods were analyzed. Results In 1 922 children with FS, the male/female ratio was 2.27:1. The mean age at onset was 3.0±1.8 years, while the peak age at onset was 1-3 years. There were 1 556 children (80.96%) with simple FS and 366 (19.04%) with complex FS. The number of children with FS in the second ifve-year period (1 202 cases) increased by 66.9%compared with that in the ifrst ifve-year period (720 cases). The proportion of children with complex FS was signiifcantly higher in the second ifve-year period than in the ifrst ifve-year period (21.13%vs 15.56%;P<0.05). In children with simple FS, there were no signiifcant differences in the age and body temperature at onset, convulsion duration, and the incidence of complications between the two ifve-year periods (P>0.05). However, children with complex FS had a signiifcantly lower age at onset, a signiifcantly lower body temperature at onset, a signiifcantly longer convulsion duration, and a signiifcantly higher incidence of complications including myocardial injury and hyponatremia in the second ifve-year period than in the ifrst ifve-year period (P<0.05). Conclusions In the last decade, the number of children with FS and incidence of complex FS increased, and the outcome became worse according to clinical characteristics, suggesting that more attention should be paid to timely diagnosis and treatment of complex FS.关键词
热性惊厥/临床特征/儿童Key words
Febrile seizures/Clinical characteristics/Child引用本文复制引用
李宁,陈言钊,周克英..儿童热性惊厥临床特征及其变化趋势[J].中国当代儿科杂志,2015,(2):176-179,4.
