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目的 分析儿童颅脑损伤后并发癫痫的危险因素。方法 对２８６ 例年龄６ 个月至１４ 岁的颅脑损伤住院患者，采用 Ｌｏｇｉｓｔｉｃ 模型分析 Ｇ Ｃ Ｓ 评分、意识状态及 Ｃ Ｔ 结果等１０ 种因素与颅脑损伤后癫痫的关系。结果 单因素分析显示： Ｇ Ｃ Ｓ评分、意识状态及 Ｃ Ｔ 结果与颅脑损伤后癫痫有关，经多因素分析，仅 Ｇ Ｃ Ｓ 评分有意义。结论 儿童颅脑损伤后癫痫与 Ｇ Ｃ Ｓ评分≤８ 分、意识障碍及 Ｃ Ｔ 结果异常有关，上述因素同时存在时，仅 Ｇ Ｃ Ｓ 评分≤８ 分是颅脑损伤后癫痫的危险因素。
Objective To analyze the risk factors of epilepsy in children with craniocerebral injury. Methods 286 hospitalized patients with craniocerebral injury aged 6 months to 14 years old were enrolled in this study. The Logistic model was used to analyze the relationship between G C S score, consciousness status and C T results and epilepsy after craniocerebral injury. Results Univariate analysis showed that G C S score, consciousness status and C T results were related to epilepsy after craniocerebral injury. By multivariate analysis, only G C S score was significant. Conclusions Children with craniocerebral injury after epilepsy and G C S score ≤ 8 points, disturbance of consciousness and C T abnormalities related to the above factors simultaneously, only G C S score ≤ 8 points is a risk factor for epilepsy after craniocerebral injury.