|
|
|
| The Influencing Factors of Febrile Convulsion and then Case-control Study |
| WANG Jieying, ZHANG Xihuan, BAI Taomin, et al |
| Shaanxi People's Hospital, Shaanxi Xi'an 710000, China |
|
|
|
|
Abstract Objective: To explore the influencing factors of febrile convulsion. Methods: 110 cases of febrile convulsions whotreated from January 2016 to December 2017 in our hospital as the case group, and 86 cases of febrile children were selected as the control group in the same period. The single factor of febrile convulsion was analyzed, the clinical data in both groups were analyzed, the possible risk factors of febrile convulsion were observed, and the relationship between immunoglobulin, trace elements and its occurrence was analyzed. Results: There was no significant difference in sex, age and mode of delivery between the control group and the case group (P > 0.05). There were significant differences in body temperature, family history of convulsion, perinatal injury, poor living environment, creatine kinase MB isoenzyme (CK-MB), immunoglobulin and trace elements between the two groups (P < 0.05). Multivariate unconditional logistic regression analysis showed that body temperature, family history of convulsion, perinatal injury, poor living environment and CK-MB were independent risk factors for febrile convulsion. Immunoglobulin and trace elements were protective factors for febrile convulsion (P < 0.05). Conclusion: The occurrence of febrile convulsion is related to a variety of high-risk factors. Low levels of immunoglobulin and trace elements can participate in the occurrence of febrile convulsion. Clinical intervention may reduce the risk of febrile convulsion.
|
|
|
|
|
|
[1] Nikkhah A,Salehiomran MR,Asefi SS.Differences in mean platelet volume and patelet count between children with simple and complex febrile seizures[J].Iran Child Neurol,2017,11(2):44~47.
[2] 李文玲.小儿急诊惊厥的特点与治疗疗效分析[J].中国医药导刊,2017,19(1):11~12.
[3] 文启芹,明怀志,廖洪彬,等.热性惊厥174例临床分析[J].山西医药杂志,2016,45(2):163~166.
[4] 李宁,陈言钊,周克英.儿童热性惊厥临床特征及其变化趋势[J].中国当代儿科杂志,2015,17(2):176~179.
[5] Papageorgiou V,Vargiami E,Kontopoulos E,et al.Association between iron deficiency and febrile seizures[J].Eur Paediatr Neurol,2015,19(5):591~596.
[6] 李娜.热性惊厥发病机制的研究进展[J].检验医学与临床,2016,13(11):1584~1586.
[7] 中华医学会儿科学分会神经学组.热性惊厥诊断治疗与管理专家共识(2016)[J].中华儿科杂志,2016,54(10):723~727.
[8] Sajadi M PhD,Khosravi S PhD.Mothers' experiences about febrile convulsions in their children:a qualitative study[J].Int Community Based Nurs Midwifery,2017,5(3):284~291.
[9] 王莉萍.热性惊厥小儿预后现状及其影响因素分析[J].实用预防医学,2014,21(6):727~728. |
|
|
|
2019, Vol. 25 
