摘要
目的探讨热性惊厥(FC)患儿异常脑电图(EEG)与临床特征的关系,以及和以后FC的再发及移行为癫痫(EP)发作的关系。方法记录158例6个月～6岁患儿FC后EEG。结果 EEG异常率与性别无关;3岁以后首发FC的EEG异常率较3岁以内的高;FC再发者EEG异常率较首次FC发作者高;FC大多发生于体温≥38.5℃,但初发体温<38.5℃,EEG异常发生率明显增高;局灶性发作和FC发作持续时间≥15min者的EEG异常率较全身性发作及发作持续时间<15min者高;有阳性家族史者EEG异常率明显升高。其中有6例FC经过2～5年的随访,最后诊断为EP。结论 FC患者EEG的异常率与阳性家族史及临床特征有明显关系,EEG对FC的早期分类诊断和进行预防性治疗有指导意义。
To studay the relationship between abnormal electroencephalogram（EEG）and clinical featrue of febrile convulsion （FC） patients. Methods The EEG of 158 children after FC attack at age from 6 months to 6 years were recorded.Results There is no relationship between abnormal EEG rate and gender,abnormal EEG rate of children with first FC attack older than 3 years is higher than those younger than 3 years old.Abnormal rate of those recurrent attack is higher than those of first attack.The tempreture of those with FC is usually above 38.5℃but it is below 38.5℃ for those of first attack whose abnormal EEG rate is higher, EEG abnormal rate whose attack is partial seizure and durative time over 15 minutes is higher than those generalize seizure and in 15 minutes：EEG abnormal rate of those with family epilepsy history is higher,the final diagnosis of 6 cases with FC among them is epilepsy by 2 to 5 years following up study.Conclusion EEG abnormal rate is related with family history and clinical feature obviously,EEG is signifcant to early classification of FC and prevention treatment direction.
出处
《中外医疗》
2012年第2期15-16,共2页
China & Foreign Medical Treatment
关键词
热性惊厥
脑电图
再发
癫痫
Febrile convulsion（FC）：Electroencephalogram（EEG）：Recurrent seizures
Epilepsy（EP）
