摘要
Abstract
Objective To analyze the risk factors for febrile seizures during fever in children and to develop corresponding coping strategies.Methods A total of 16000 febrile children who visited Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from January 2020 to January 2023 were selected.Their case and nursing data were analyzed to record the occurrence of febrile seizures during fever.Univariate and multivariate analyses were conducted on the risk factors inducing febrile seizures,and receiver operator characteristic(ROC)curves were plotted based on relevant risk factors.Results Among 16000 febrile children,80 cases developed febrile seizures,with an incidence rate of 5.00％.Univariate analysis showed that the occurrence of febrile seizures was associated with age,body temperature,family history,upper respiratory tract infection,premature birth,serum sodium,serum calcium,and neutrophil to lymphocyte ratio(P<0.05).Multivariate analysis showed that age,body temperature,upper respiratory tract infection,serum sodium,and serum calcium were all independent risk factors for febrile seizures in children(P<0.05).By plotting the ROC curve,it was found that the AUC value for inducing febrile seizures was 0.832(95％CI:0.783～0.901),with a specificity of 0.742 and a sensitivity of 0.586.Conclusion The occurrence of febrile seizures in childhood fever is associated with age,body temperature,upper respiratory tract infection,serum sodium,and serum calcium.Targeted measures such as rapid cooling,correction of hyponatremia and hypocalcemia can be taken in clinical practice,especially in young children,to help prevent the occurrence of febrile seizures.关键词
发热/高热惊厥/风险因素/护理策略Key words
fever/febrile seizure/risk factor/nursing strategy分类
医药卫生
