小儿急惊风（风热动风证）相关因素的研究

发布时间：2018-06-20 22:56

本文选题：急惊风 + 小儿　；参考：《长春中医药大学》2016年硕士论文

【摘要】：目的:旨在探讨小儿热性惊厥与剖宫产等因素的相关性,挖掘对热性惊厥病因的认识,为今后小儿热性惊厥的防治提供科学依据和思路。方法:病例均来源于2011年1月~2015年12月就诊于长春中医药大学附属医院、长春中医药大学附属医院二部、吉林大学白求恩第一医院的儿科门诊及疗区确诊为热性惊厥患儿349例,符合纳入标准患儿312例;然后对筛选出的312位热性惊厥患儿的临床资料进行回顾性分析,主要包括姓名、性别、年龄、个人出生史、家族史、惊厥发作次数等,并在此基础上进行总结。结果:1性别分布在符合纳入标准的312名热性惊厥的患儿中其中男183例,女129例,男:女为1.42:1,男女患病率分别为58.65%和41.35%,说明男孩发生热性惊厥者明显多于女孩。2年龄分布312例热性惊厥患儿中,首次发病年龄最小8个月,最大10岁。多数患儿发病年龄≤3岁(90.71%),尤以1~2岁患儿所占比例最高(66.03%)。3年份热性惊厥患儿2015年例数最多占40.72%(P0.05),热性惊厥患儿有逐年增多的趋势。4原发病其中肺系疾病者283例(上呼吸道感染68例,肺炎177例,疱疹性咽峡炎24例,支气管炎4例,支气管哮喘合并肺内感染4例,急性胃肠炎26例,化脓性扁桃腺炎5例,毛细支气管炎2例,喉炎2例),急性胃肠炎26例。经c(17)检验,P0.05,差异有统计学意义,本组热性惊厥患儿,其中原发于肺系疾病者占91.67%,其次为急性胃肠炎占8.33%,说明以肺系疾病引起热性惊厥者为最多。5围产期异常有围产期异常者58例,占36.48%(P0.05),有显著性差异,因此围产期异常是惊厥再发的危险因素,围产期异常患儿发生2-3次热性惊厥较多见(59.04%)。6个人出生史热性惊厥多为剖宫产儿(P0.05),剖宫产为小儿热性惊厥发病的危险因素,热性惊厥与剖宫产有相关性。7家族史家族史患儿19例,占6.09%,有家族史患儿更易发生和复发热性惊厥,结果表明家族史的患儿更易发生热性惊厥。结论:经过该调查发现,小儿热性惊厥的发生在性别上存在差异;与年龄、个人出生史、家族史及感受外邪有关;在研究过程中发现大多数患儿都为剖宫产儿,统计学分析剖宫产为小儿热性惊厥发病的危险因素,故有必要进行此次回顾性分析,以便进一步寻找该病发生的病因,分析其发生的特点,为早期预防、有效治疗及控制该病提供客观依据。
[Abstract]:Objective: to explore the correlation between febrile convulsion and cesarean section in children, to explore the etiology of febrile convulsion, and to provide scientific basis and ideas for the prevention and treatment of febrile convulsion in children. Methods: all the patients were admitted to Changchun University of traditional Chinese Medicine from January 2011 to December 2015, the second affiliated Hospital of Changchun University of traditional Chinese Medicine, and the pediatric outpatient clinic and treatment area of Bai Qiuen first Hospital of Jilin University. 349 cases of febrile convulsion were diagnosed. The clinical data of 312 children with febrile convulsion were analyzed retrospectively, including name, sex, age, personal birth history, family history, number of seizures, etc. And on this basis to sum up. Results among 312 children with febrile convulsion, 183 were males and 129 were females. Male: female was 1.42: 1, the prevalence rate of male and female was 58.65% and 41.35, respectively, which indicated that the number of febrile convulsions in boys was obviously higher than that in girls. The age distribution of 312 children with febrile convulsion was the youngest 8 months for the first time and the biggest 10 years old. Most of the children with febrile convulsion were aged less than 3 years old (90.71%), especially those aged 1 to 2 years old (66.03%). In 2015, the most cases of febrile convulsion were 40.72% (P 0.05), and the number of febrile convulsion children was increasing year by year (P < 0.05). 68 cases of respiratory tract infection, There were 177 cases of pneumonia, 24 cases of herpes pharyngitis, 4 cases of bronchitis, 4 cases of bronchial asthma with intrapulmonary infection, 26 cases of acute gastroenteritis, 5 cases of suppurative tonsillitis, 2 cases of bronchiolitis, 2 cases of laryngitis and 26 cases of acute gastroenteritis. The difference was statistically significant in children with febrile convulsion. The incidence of primary pulmonary diseases was 91.67, followed by acute gastroenteritis 8.33, indicating that 58 cases with perinatal abnormal perinatal period had perinatal abnormalities, accounting for 36.48% of perinatal abnormalities, and there was significant difference (P 0.05), which indicated that febrile convulsion caused by pulmonary diseases was the most common type of abnormal perinatal period in 58 cases, accounting for 36.48% of perinatal abnormalities (P 0.05). Therefore, perinatal abnormality is the risk factor of recurrent convulsion, and 2-3 times of febrile convulsion is more common in perinatal abnormal children than 59.040.The most of 6 cases of febrile convulsion at birth are cesarean section (P0.05), and cesarean section is the risk factor of infantile febrile convulsion. There were 19 cases (6.09) with familial history of febrile convulsion and cesarean section. The results showed that febrile convulsion was more likely to occur in children with family history and febrile convulsion. Conclusion: the investigation shows that the occurrence of febrile convulsion in children is different in sex; it is related to age, personal birth history, family history and experience of exorcism; during the study, it was found that most of the children were born by cesarean section. Statistical analysis of cesarean section is the risk factor of febrile convulsion in children, so it is necessary to carry out this retrospective analysis in order to find out the etiology of the disease and analyze the characteristics of its occurrence in order to prevent it early. Effective treatment and control of the disease provide an objective basis.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R272

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