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目的:研究与小儿热性惊厥复发相关的因素,为采取必要的预防措施做准备。方法:回顾2011年6月～2013年6月小儿热性惊厥复发患儿80例,将其作为实验组,选择同时期无复发小儿120例作为对照组,对两组小儿的临床资料进行回顾性分析,对可能影响小儿复发的因素进行单项分析,得出显著性变量后,应用Logistic回顾模式进行多元分析。结果:从单因素分析角度看,与小儿热性惊厥复发的因素共有10个,经Logistic多元分析,认为低体温、年龄小、生活环境差、异常围产史、复杂型惊厥是影响小儿复发热性惊厥的5个高危因素。结论:小儿热性惊厥的复发率较高,少数严重患者可转化为癫痫,在实际治疗过程中,应积极进行降温治疗,为防止小儿出现神经系统后遗症,必要时可采用间歇短程的用药方式。
OBJECTIVE: To study the factors associated with the recurrence of febrile seizures in children in preparation for taking the necessary precautions. Methods: From June 2011 to June 2013, 80 children with recurrent febrile seizures were retrospectively reviewed. 120 children without recurrence during the same period were selected as the control group. The clinical data of two groups were retrospectively reviewed Analysis of factors that may affect the recurrence of children a single analysis, the significant variables were obtained, the use of Logistic regression model for multivariate analysis. Results: From the perspective of univariate analysis, there were 10 relapse factors of pediatric febrile seizures. Logistic multivariate analysis showed that hypothermia, small age, poor living environment, abnormal peripartum history and complicated seizure affect the relapse of children Five high risk factors for sexual convulsion. Conclusion: The recurrence rate of pediatric febrile seizures is high, and a few serious patients can be converted into epilepsy. In the actual treatment, cooling therapy should be actively carried out. In order to prevent neurological sequelae in children, intermittent short-course medication may be used if necessary.