摘要
目的 :探讨热性惊厥 (FC)异常脑电图 (EEG)与临床特征的关系 ,对 FC进行早期分类诊断 ,与以后癫痫 (EP)发作、FC的再发及进行预防性治疗的关系。方法 :记录 2 10例 3个月~ 7.5岁患儿 FC后 EEG。结果 :首次 EEG异常率为 2 8.7%。随着 FC再发次数的增多、FC患儿 EEG异常率随年龄增大而增高 ,3岁以内 FC的 EEG异常不明显 ,3岁以后 FC的 EEG异常则逐渐增多 ,有统计学意义。其中有 5例 FC经过 2~ 6 a的随访 ,最后诊断为 EP。结论 :EEG的异常率与 级亲属的 FC史无关 ,与 FC临床特征如局灶性发作、FC的发作持续时间有关。 FC再发与 EEG发作性异常、年龄有明显关系。 EEG多次出现发作性异常的FC者转变成 EP。
Purpose To explore the connection between abnormal EEG and clinical features of febrile convulsion (FC).Methods The EEG after FC seizure of 210 children with the age from 3 months to 7.5 years were recorded. Results The abnormal rate of first time EEG was 28.7 %. As the ralaps times of FC increasing, the abnormal ratio was rising with their age changing.The abnormality of EEG for FC was grandually increasing after three ages , which had stastistics significance. Of 210 cases, 5 cases were diagnosed epilepsy after 2 to 6 years follow up. Conclusion the abnormal rate had something to do with the clinical characteristics of FC, but had nothing to do with the FC history of their first level relations. The ralaps of FC related to the seizure abnomality of EEG and age obviously.As many times seisuring abnormality of EEG, the FC would convert into EP, prevention therapy would be necessary.
出处
《实用医技杂志》
2002年第9期654-655,共2页
Journal of Practical Medical Techniques