| Objective: To summarize the basic characteristics of children with febrile convulsions(fs),the differences between simple and complex fs,and familial first aid for recurrence of fs in order to provide a reference for the prevention of the disease.Methods: A retrospective analysis of 462 eligible fs hospitalized children who lived in Ningxia and surrounding areas from June 2014 to June 2018,and recorded gender,age,ethnicity,clinical symptoms,time of onset,season of onset,pre-onset Fever time,body temperature during seizures,duration of first convulsions,family fs history,family epilepsy history,perinatal cerebral hypoxia history,birth gestational age,birth pattern,pre-hospital home emergency,statistical analysis using spss21.0 statistical software package.Results: 462 FS children were youngest in May and maximum 70 months,with an average of(24.0 ± 13.74)months.Among them,68 were infants(14.7%),298 were infants(64.5%),and 96 were preschool children(20.8%).There were 333 males,accounting for72.1%,129 females,accounting for 27.9%,and the male to female ratio was 2.58: 1;360were Han(77.9%),88 were Hui(19.0%),8 were Mongolian(1.7%),and Manchu 5 Cases(1.1%)and Tujia(1 case(0.2%));the first seizure occurred in 103 cases(22.3%)in spring,151(32.7%)in summer,97(21%)in autumn,and winter.111 cases(24%);380 cases were delivered by birth,accounting for 82.3%,and 82 cases were delivered by cesarean section,accounting for 17.7%.According to the time of birth,they were divided into premature infants,term infants,and expired infants,which were 11 cases,There were 451 cases and 0cases,accounting for 2.4%,97.6%,and 0% of the total;286 cases of upper respiratory infections in 462 cases,accounting for 61.9%,69 cases of bronchopneumonia,accounting for 14.9%,and 40 cases of acute diarrhea,accounting for 8.7 %,28 cases of hand,foot and mouth disease,accounting for 6.1%,27 cases of acute bronchitis,accounting for 5.8%,7cases of infants with acute rash,accounting for 1.5%,4 cases of measles,accounting for0.9%;1 case of skin infection,accounting for 0.2%;simple There were 344 cases of febrile seizures,accounting for 74.46%,and 118 cases of complex febrile seizures,accounting for25.54%.SFS and CFS differed in the duration of the first seizures and the history of family FS.The number of children with recurrent febrile seizures was 329,accounting for 71.2% of the 462 cases,and 133 children with recurrent febrile seizures,accounting for 28.8%.Of the133 children with recurrent febrile seizures in this study,There were 92 cases of recurrence within 1 year,accounting for 69.2%,31 cases of recurrence within 1-2years,accounting for23.3%,and 10 cases of recurrence greater than 2years,accounting for 7.5%.Univariate analysis of the age of first onset of FS recurrence factors ?12months,body temperature at the first episode ?38.5 ° C,fever time before the episode ?24h,family history of FS,history of perinatal cerebral hypoxia,cesarean delivery,and abnormalities in skull imaging examination(related to the control group)(Comparison P <0.05).Logistic regression analysis of the recurrence factors were ?1 year of age,pre-existing fever time ?24h,and a family history of FS was an independent risk factor for FS recurrence,and the difference was statistically significant(P <0.05).Among the children with FS who were able to correctly perform pre-hospital first aid,there were 12(14.81%)of the first episodes,and 53patients(65.43%)had convulsions after being discharged from pre-hospital first aid missions.There were 16 reconvulsants(19.75%);correct FS pre-hospital emergency treatment can effectively shorten the duration of seizures in children,and children with FS correct pre-hospital emergency education were less than othersPre-hospital emergency treatment can be performed more scientifically.Most children with febrile seizures have seizures outside the hospital,and the children are hypoxic during convulsions.If they can not be handled in a timely and scientific manner,it may result in hypoxic time.Growth causes brain damage.CONCLUSIONS: Children's FS is more common in young children,more men thanwomen,and more frequently in summer.Children's SFS and CFS are different in the duration of first seizures and family FS.The recurrence factors of FS in children are: ?family history of FS and brain imaging suggests abnormal brain development;correct FS pre-hospital emergency education can help family members to perform pre-hospital first aid correctly,and scientific and reasonable pre-hospital first aid can reduce the duration of the first episode of the child,and may reduce hypoxia to children's brain damage. |
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