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目的分析病毒性脑炎与脑膜炎(VEM)患儿引发惊厥的危险因素。方法从2012年2月-2014年1月在医院治疗的VEM患儿中选取100例,根据患者惊厥情况分成2组,出现惊厥症状的35例患儿为观察组,未出现惊厥的65例患儿分为对照组。对可能引发惊厥的因素包括发热、头晕、呼吸系统情况、脑膜刺激征、锥体束征、白细胞数、潘氏试验、脑电图等单因素进行比对分析,再通过Logistic多因素回归分析VEM患儿惊厥的主要因素。结果观察组脑膜刺激征患儿发生率为68.57%明显高于对照组的32.31%,差异有统计学意义(P<0.05),Logistic回归分析表明脑膜刺激征是引发VEM患儿惊厥的独立因素。结论脑膜刺激征是引发患儿惊厥的独立因素,对于此类患儿应加强医疗护理干预。
Objective To analyze the risk factors of seizures in children with viral encephalitis and meningitis (VEM). Methods From February 2012 to January 2014, 100 patients with VEM treated in the hospital were divided into 2 groups according to their convulsions. 35 patients with convulsion symptoms were observed in the observation group and 65 patients without convulsion Children were divided into control group. The possible causes of convulsions include fever, dizziness, respiratory conditions, meningeal irritation, pyramidal tract signs, white blood cell count, Pan test, EEG single factor such as comparison analysis, and then by Logistic regression analysis of VEM Children convulsions of the main factors. Results The incidence of meningeal irritation was 68.57% in observation group, which was significantly higher than that in control group (32.31%) (P <0.05). Logistic regression analysis showed that meningeal irritation was an independent factor of convulsion in VEM children. Conclusion Meningeal irritation is an independent factor causing convulsion in children. For such children, medical care intervention should be strengthened.