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目的研究高热惊厥(FC)患儿的临床特征,寻找预防FC复发的措施。方法分析198例FC患儿的临床资料,并于其出院后随访首次发病患儿138例,将复发FC患儿设为观察组,无复发FC患儿作为对照组;比较两组患儿年龄、性别、体温等方面的差异,并进行统计学分析。结果小儿高热性惊厥多见于6个月～3岁,男多于女,有遗传相关性,病因以上呼吸道感染最常见;引起FC复发的相关因素有年龄、性别、体温、持续时间、惊厥类型、家族史。结论多数FC患儿的预后良好,但复发率较高,对于有复发倾向患儿,实施及时有效的预防,可改善患儿的预后。
Objective To study the clinical features of children with febrile seizures (FC) and find out the measures to prevent the recurrence of FC. Methods The clinical data of 198 children with FC were analyzed and 138 children with first onset were followed up after discharge. The children with recurrent FC were selected as the observation group and the children without recurrence FC as the control group. The age, Gender, body temperature and other differences, and statistical analysis. Results The children with febrile seizures more common in 6 months to 3 years old, more men than women, there are genetic correlations, the most common cause of respiratory infections; related factors that cause FC recurrence are age, gender, body temperature, duration, type of seizures, Family history. Conclusions Most patients with FC have a good prognosis, but the relapse rate is high. For the children with recurrent tendency, timely and effective prevention can improve the prognosis of children.