邳州地区幼儿及学龄前儿童热性惊厥流行病学调查.docVIP

郊州地区幼儿及学龄前儿童热性惊厥流行病学调查 ［ ］目的调查邳州地区幼儿及学龄前儿童 热性惊厥(FC)的临床特点，为本地区该病的防治提 供依据。方法2013年11?12月对邳州城区3所及 乡镇5所幼儿园912名幼儿及学龄前儿童进行问卷调 查。结果912名小儿中有37例发生过FC，发生率为 4.06%(37/912)。15 例复发，复发率为 40.54%(15/37)； 发作多呈单纯型(28/37，75.68%)；持续时间多在 ［关键词］热性惊厥；流行病学；幼儿；学龄前儿 ［ ］R725.9 ［ ］A ［ ］ 1674-4721 (2015) 07 (b) -0160-04 [Abstract] Objective To investigate the clinical characteristics of febrile convulsion (FC) in kids and preschool children in Pizhou in order to provide reference for prevention and treatment of the disease. Methods From November to December 2013， nine hundred and twelve kids and preschool children from kindergartens including 3 ones from urban areas and 5 from villages and towns were carried out questionnaire. Results Among all these kids， 37 ones occurred with FC accounting for 4.06% (37/912 )，of which 15 cases were recurred，and the recurrence rate was 40.54% (15/37) .The seizure was in simple type (28/37， 75.68%).The duration mostly lasted within 10min(29/37, 78.3%) .The Recurrence risk factors included onset of FC for the first time being less 3 years old， onset of body temperature being lower than 38.5°C, complex type of FC, frequency of onset of course of disease for the first time being over 2 times, and FC family history. Conclusion The morbidity of pediatric FC in Pizhou is 4.06%.The onset of FC is mostly in simple type, and part of FC in complex type can be converted into epilepsy. [Key words] Febrile convulsion； Epidemiology； Kid； Preschool children 热性惊厥(febrile convusion，FC)是小儿时期常 见的一种惊厥性疾病，总体患病率为2%?5%，18? 22月为发病年龄高峰期，在各类小儿惊厥中约占 30%[1]。因其临床常见，起病突然，复发率高，给患 儿及家长带来一定程度的影响。为了解本地区儿童FC 的患病情况及影响因素，本文对邳州城区3所及乡镇 5所幼儿园912名幼儿及学龄前儿童进行FC流行病学 1资料与方法 1.1 —般资料 2013年11?12月调查人员对邳州市辖区范围内 的城区及乡镇按照数字随机方法选择邳州城区3所及 乡镇5所幼儿园912名幼儿及学龄前儿童为研究对象， 其中男童487名(53.40%),女童425名(46.60%)； 城区 471 名(51.64%)，乡镇 441 名(48.36%)。 1.2调查方法 首先对调查指导人员进行调研培训，统一指导用 语，用自制FC问卷调查表调查FC情况，内容包括性 别、首次FC发病年龄、发病程度、发作持续时间、发 作频率、发作时抽搐的形式、有无FC及癫痫家族史及 发作时治疗等。先在各个幼儿园筛出可疑患有FC的儿 童，对筛选出的FC的儿童，由儿科医师进行进一步随 访，包括出生史、生活环境、详细的病史、发作时用 药情况、辅助检查、