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目的:探讨复杂性热性惊厥脑电图特征与癫痫发生的相关性。方法:2012年3月到2014年5月选择在我院诊治为复杂性热性惊厥的呼吸道感染患儿86例作为观察组,同期选择在我院诊治的非热性惊厥的呼吸道感染患儿86例作为对照组,两组都进行脑电图监测与认知功能判定,对癫痫发生情况进行判定与分析。结果:观察组的言语智商、行为智商与总智商评分都明显低于对照组(P<0.05)。观察组的癫痫发生率为9.3%,脑电图异常率为8.1%;而对照组的癫痫发生率为1.2%,脑电图异常率为2.3%,对比差异都有统计学意义(P<0.05)。在观察组患儿中,Spearman相关性分析显示脑电图异常与癫痫发生存在明显正向相关性(r=0.349,P<0.05)。结论:复杂性热性惊厥伴随有脑电图异常,与癫痫发生存在明显正向相关性,损害患儿的认知功能。
Objective: To investigate the correlation between complex febrile seizures and epilepsy. Methods: From March 2012 to May 2014, 86 children with respiratory tract infection diagnosed as complicated febrile seizures in our hospital were selected as the observation group, 86 patients with non-febrile seizures of respiratory tract infection Cases as a control group, both groups were EEG monitoring and cognitive function to determine the status of epilepsy to determine and analyze. Results: The verbal IQ, behavioral IQ and total IQ scores in the observation group were significantly lower than those in the control group (P <0.05). The incidence of epilepsy was 9.3% in the observation group and 8.1% in the electroencephalogram. The incidence of epilepsy was 1.2% in the control group and 2.3% in the electroencephalogram (P <0.05) ). In the observation group, Spearman correlation analysis showed that there was a significant positive correlation between EEG abnormality and epilepsy (r = 0.349, P <0.05). Conclusion: Complicated febrile seizures accompanied by EEG abnormalities have a significant positive correlation with epilepsy, impairing cognitive function in children.