轻度胃肠炎伴婴幼儿良性惊厥的临床分析及随访研究

目的分析轻度胃肠炎伴婴幼儿良性惊厥（BICE）的临床特点及预后。方法对436例BICE患儿的临床资料进行回顾性分析,并对其中206例患儿进行1.5~7年的预后随访,邀请部分家长完成Weiss功能缺陷量表以评价患儿远期的社会功能。结果患儿发病年龄多在13~24月龄;发病时间多在9月至次年2月;惊厥主要表现为全身强直-阵挛发作,多在发病24 h内发作,每次持续时间多在5 min内,可有丛集性发作。206例患儿随访过程中,除1例仍有癎样放电,其余脑电图复查均恢复正常,所有患儿家属认为患儿智力正常,无明显性格改变。基于部分BICE患儿家长填写的Weiss功能缺陷量表显示,BICE患儿的远期社会功能与年...

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Published in中国当代儿科杂志 Vol. 19; no. 11; pp. 1191 - 1195
Main Author 薛超超 梁亚峰 潘国权 李昌崇
Format Journal Article
LanguageChinese
Published 2017
Subjects
临床特点
儿童
社会功能
轻度胃肠炎伴婴幼儿良性惊厥
预后
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Summary:目的分析轻度胃肠炎伴婴幼儿良性惊厥（BICE）的临床特点及预后。方法对436例BICE患儿的临床资料进行回顾性分析,并对其中206例患儿进行1.5~7年的预后随访,邀请部分家长完成Weiss功能缺陷量表以评价患儿远期的社会功能。结果患儿发病年龄多在13~24月龄;发病时间多在9月至次年2月;惊厥主要表现为全身强直-阵挛发作,多在发病24 h内发作,每次持续时间多在5 min内,可有丛集性发作。206例患儿随访过程中,除1例仍有癎样放电,其余脑电图复查均恢复正常,所有患儿家属认为患儿智力正常,无明显性格改变。基于部分BICE患儿家长填写的Weiss功能缺陷量表显示,BICE患儿的远期社会功能与年龄、性别相匹配的健康对照儿童比较差异无统计学意义。结论 BICE多发生于1~2岁婴幼儿,多表现为短暂的全面性发作,部分可表现为丛集性发作,但极少进展为癫癎,预后良好。
Bibliography:XUE Chao-Chao, LIANG Ya-Feng, PAN Guo-Quan, LI Chang-Chong. （Department of Pediatrics, Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China ）
Benign infantile convulsions associated with mild gastroenteritis; Clinical feature; Prognosis; Social function; Child
Objective To study the clinical features and prognosis of benign infantile convulsions associated with mild gastroenteritis（BICE）.Methods A retrospective analysis was performed for the clinical data of 436 children with BICE,and among these children,206 were followed up for 1.5 to 7 years.Some parents were invited to complete the Weiss Functional Defect Scale to evaluate the long-term social function.Results The peak age of onset of BICE was 13-24 months,and BICE had a higher prevalence rate in September to February of the following year.Convulsions mainly manifested as generalized tonic-clonic seizures,which often occurred within 24 hours after disease onset and lasted for less than 5 minutes each time.Sometimes they
ISSN:1008-8830