目的探讨儿童癫痫发作期的心电图变化特点,从而揭示癫痫对心脏的损害。方法选择我院97例癫痫患儿为研究对象(癫痫组);同期观察正常体检儿童85例(对照组),将两组受检者心电图进行回顾性对比分析。结果 1癫痫组心电图异常者56例(57.7%),对照组异常者4例(4.7%),二者比较有统计学意义(P<0.05)。2癫痫组心电图异常中早搏者38例(67.9%),其中室性早搏者23例(41.1%),房性早搏者15例(26.8%);ST-T改变者12例(21.4%),房室阻滞者6例(10.7%)。结论癫痫患儿发作期心电图异常发生率明显高于正常儿童,同时异常中不同类型发生率高于正常儿童,其中以早搏多见,应引起临床医护人员的充分重视,从而提高治愈率和生存质量。 Objective To investigate the characteristics of electrocardiogram changes in children with seizures and to reveal the damage of epilepsy to the heart. Methods Ninety-seven children with epilepsy were selected as the study group (epilepsy group). 85 normal children (control group) were observed during the same period. The electrocardiogram of the two groups were retrospectively analyzed. Results There were 56 cases (57.7%) with abnormal electrocardiogram in epilepsy group and 4 cases (4.7%) with abnormal ECG in control group (P <0.05). There were 38 cases (67.9%) with preeclampsia in epilepsy group, of which 23 cases were premature ventricular contractions (41.1%), 15 cases (26.8%) had preeclampsia, 12 cases (21.4%) had ST- Atrioventricular block in 6 cases (10.7%). Conclusions The incidence of electrocardiogram abnormalities in children with epilepsy was significantly higher than that in normal children, while the incidence of different types of abnormalities was higher than that of normal children. Among them, premature beats were more common and should be paid enough attention by clinicians so as to improve the cure rate and quality of life .