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目的:分析轻度胃肠炎伴发良性婴幼儿惊厥的临床特点。方法:选择佛山市三水区人民医院2014年3月至2016年1月收治的轻度胃肠炎伴发良性婴幼儿惊厥患者51例临床资料,为A组。并随机抽取佛山市三水区人民医院同期收治的单纯性急性胃肠炎患儿70例作为对照分析,为B组。对比两组患儿基本资料、实验检测数据,随访3~12月探讨预后效果。结果:轻度胃肠炎伴发良性婴幼儿惊厥多发于5~35月,男性与女性患儿差异具有统计学意义(P<0.05),疾病多发于秋季与春季,惊厥症状首次发作多在患儿腹泻1~4 d,惊厥频率1~2次,持续时间集中在1~5 min;两组血常规、功能、生化指标比较,差异均无统计学意义(P>0.05),不过A组患儿白细胞(white blood cell,WBC)与Na+略低于B组,差异具有统计学意义(P<0.05)。多数患儿惊厥症状未作处理已自行缓解,住院3~8 d后症状改善或痊愈出院,随访中所有患儿神经运动发育和生长发育正常。结论:轻度胃肠炎伴婴幼儿良性惊厥多数属于一过性反应,通过系统全面的对症处理可到达良好预后疗效,无需采取长期性抗惊厥治疗。
Objective: To analyze the clinical features of mild gastroenteritis with benign infantile convulsion. Methods: A total of 51 patients with mild gastroenteritis complicated with infantile convulsion admitted to Sanshui District People’s Hospital of Foshan City from March 2014 to January 2016 were selected. A total of 70 patients with simple acute gastroenteritis admitted to Sanshui District People’s Hospital of Foshan City during the same period were selected randomly for B group. Comparing the two groups of children with basic data, experimental test data, follow-up 3 to 12 months to explore the prognosis. Results: mild gastroenteritis associated with benign infantile seizures occurred in 5 to 35 months, male and female children with a statistically significant difference (P <0.05), the disease occurs in autumn and spring, the first episode of convulsive symptoms in patients Infantile diarrhea 1 ~ 4 d, seizure frequency 1 or 2 times, the duration of focus in 1 ~ 5 min; two groups of blood, function, biochemical indicators, the difference was not statistically significant (P> 0.05) The white blood cells (WBC) and Na + were slightly lower than those in the B group, with statistical significance (P <0.05). The majority of children with convulsive symptoms have not been treated to relieve themselves, 3 to 8 days after hospitalization or improvement of symptoms and discharged, all children with neurological development and normal growth and development during follow-up. Conclusions: Most patients with mild gastroenteritis and benign infantile convulsions belong to a transient reaction, and good prognosis can be achieved through systematic symptomatic treatment without long-term anticonvulsant therapy.