【摘要】 目的 分析热性惊厥（FC）患儿癫痫发生情况及影响因素。方法 选取2021年5月至2023年5月滨州市中心医院收治的94例FC患儿进行回顾性分析，分析患儿癫痫发生情况，并进行单因素与多因素logistic回归分析以明确癫痫发生的危险因素。结果 纳入的94例FC患儿中，32例发生癫痫，发生率为34.04%；发生组FC持续时间较未发生组更长，FC发作次数更多，脑电图（EEG）额颞叶区异常以及EEG非特异性异常表现占比更高（P<0.05）。多因素logistic回归分析显示，FC持续时间（OR=1.285）、FC发作次数（OR=3.718）、EEG额颞叶区异常（OR=5.875）、EEG非特异性异常表现（OR=2.312）是FC患儿发生癫痫的独立危险因素（P<0.05）。结论 FC患儿发生癫痫的风险较高，与FC持续时间、FC发作次数、EEG异常部位、EEG异常表现有关。更多还原

【Abstract】 Objective To analyze the occurrence and influencing factors of epilepsy in children with febrile convulsion(FC). Methods A retrospective analysis was conducted on 94 children with FC admitted to Binzhou Central Hospital from May 2021 to May 2023. The occurrence of epilepsy in these children was analyzed, and univariate and multivariate logistic regression analysis were performed to clarify the risk factors for epilepsy. Results Among94 children with FC included, 32 cases developed epilepsy, with an incidence rate of 34.04%. In comparison of the non occurrence group, the duration of FC in the occurrence group was longer, the frequency of FC attacks was more, and the proportion of abnormal frontal and temporal electroencephalogram(EEG) and non-specific abnormal manifestations of EEG was higher(P < 0.05). Multivariate logistic regression analysis showed that the duration of FC(OR=1.285), frequency of FC attacks(OR=3.718), abnormal frontal and temporal EEG(OR=5.875), and non-specific abnormal manifestations of EEG(OR=2.312) were independent risk factors for epilepsy in children with FC(P < 0.05).Conclusion Children with FC have a higher risk of epilepsy, which is related to the duration of FC, the frequency of FC attacks, the abnormal location of EEG, and the abnormal manifestations of EEG.更多还原