【摘要】 目的　分析儿童颅脑损伤后并发癫痫的危险因素。方法　对２８６ 例年龄６ 个月至１４ 岁的颅脑损伤住院患者，采用 Ｌｏｇｉｓｔｉｃ 模型分析 Ｇ Ｃ Ｓ 评分、意识状态及 Ｃ Ｔ 结果等１０ 种因素与颅脑损伤后癫痫的关系。结果　单因素分析显示： Ｇ Ｃ Ｓ评分、意识状态及 Ｃ Ｔ 结果与颅脑损伤后癫痫有关，经多因素分析，仅 Ｇ Ｃ Ｓ 评分有意义。结论　儿童颅脑损伤后癫痫与 Ｇ Ｃ Ｓ评分≤８ 分、意识障碍及 Ｃ Ｔ 结果异常有关，上述因素同时存在时，仅 Ｇ Ｃ Ｓ 评分≤８ 分是颅脑损伤后癫痫的危险因素。更多还原

【Abstract】 Objective To study the clinical predictors of posttraumatic epilepsy(PTE) in children with head trauma. Methods Our clinical sample included 286 children aged 6 months to 14 years admitted to Department of Neurosurgery with a diagnosis of head trauma. A Logistic model with 10 variables such as consciousness, GCS, CT results and so on was used to analyse the factors contribution to PTE in the children.Results Among the 10 variables, the three variables of consciousness, GCS and CT results are related to PTE with the single data in Logistic model, but only GCS is related to it with the multivariate data in Logistic model. Conclusions For the pediatric head trauma patients, GCS≤8, loss of consciousness and an abnormal CT scan were all associated with PTE. However, only a low GCS(GCS≤8) was predictive of PTE when these factors were considered simultaneously.更多还原