Clinical analysis and long-term follow-up observation of infants with acute gastroenteritis with benign convulsions
婴幼儿急性胃肠炎伴良性惊厥临床分析及远期随访观察

摘要

目的 研究分析婴幼儿急性胃肠炎伴良性惊厥的临床特点，并记录远期随访情况。方法 本次实验跨越2019年4月至2021年8月这一时间段，研究人员对100例急性胃肠炎伴良性惊厥患儿进行研究。研究人员在本次实验中采用回顾性分析法对所选患儿临床特点进行归纳总结，并在治疗结束后实施远期随访，对临床特点及远期随访结果进行记录和分析。结果 在本次实验所选100例急性胃肠炎伴良性惊厥患儿中，共计79例患儿年龄集中在1岁至2岁之间，占所选患儿总人数的比例为79.00%；所选患儿发病时间并无明显规律，全面均有发病；在急性胃肠炎三天内出现惊厥的患者人数为88人，占所选患者总人数的比例为88.00%;对所选患儿惊厥次数进行统计和计算，发作频率为每天1.8次；对所选患者实施检查，大便轮状病毒检测为阳性的患者人数为13人，占比为13.00%，无患者脑脊液及血液常规、生化及培养检查出现异常情况；脑电图无异常、额中央区或中央顶区尖-慢波发放或有尖波、背景活动慢化的患者人数分别为91人、4人及5人；随访结果进行分析，所选患儿中诊断为癫痫、出现热性惊厥、病情复发的人数分别为1人、1人及5人。结论 1-2岁婴幼儿出现急性胃肠炎伴良性惊厥的概率较高，医护人员应高度重视惊厥的控制和治疗，以此优化预后效果。

Abstract

Objective: To study and analyze the clinical characteristics of acute gastroenteritis with benign convulsions in infants and young children, and to record long-term follow-up.
Methods: This experiment spanned the period from April 2019 to August 2021. The researchers studied 100 children with acute gastroenteritis with benign convulsions. In this experiment, the researchers used retrospective analysis to summarize the clinical characteristics of selected children, and implemented long-term follow-up after the end of treatment, and recorded and analyzed the clinical characteristics and long-term follow-up results.
Results: Among the 100 children with acute gastroenteritis with benign convulsions selected in this experiment, a total of 79 children were aged between 1 and 2 years old, accounting for 79.00% of the total number of selected children; There is no obvious regularity in the onset time of the selected children, and they all have the disease; the number of patients with convulsions within three days of acute gastroenteritis is 88, accounting for 88.00% of the total number of selected patients; for selected children with convulsions The number of times is counted and calculated, and the attack frequency is 1.8 times a day. The selected patients were checked. The number of patients who tested positive for fecal rotavirus was 13, accounting for 13.00%. No patients had cerebrospinal fluid and blood routine, biochemical and culture. There were abnormalities in the examination; the number of patients with no abnormalities in the EEG, sharp-slow waves or sharp waves in the central or central parietal area, and slowed background activities were 91, 4, and 5 patients; the follow-up results were analyzed. Among the selected children, the number of children diagnosed with epilepsy, febrile seizures, and recurrence were 1, 1, and 5, respectively.
Conclusion  : The probability of acute gastroenteritis with benign convulsions is higher in infants aged 1-2 years. Medical staff should attach great importance to the control and treatment of convulsions in order to optimize the prognosis.