急诊热性惊厥患儿24 h内惊厥反复发作情况及影响因素分析OA

Objective To analyze the recurrence of convulsions within 24 hours and influencing factors in emergency children with febrile convulsions.Methods A retrospective analysis was conducted on 122 children with febrile convulsion in Emergency Room,Zhongda Hospital Southeast University from February 2022 to February 2025.They were divided into the single-attack group and the recurrent-attack group according to whether convulsions recurred within 24 hours or not.The single-factor analysis and multi-factor analysis were performed on the related influencing factors.Results Among 122 children with febrile convulsions included,28 cases had recurrent attack,accounting for 22.95%(28/122),94 cases had single attack,accounting for 77.05%(94/122).There was no statistically significant difference in gender,convulsion latency period,and duration of fever before attack between the two groups(P>0.05).There were statistically significant differences in the history of febrile convulsions,the age of the first attack,the body temperature during febrile convulsions,the duration of febrile convulsions,and the family history of febrile convulsions between the two groups(P<0.05).Multivariate analysis showed that having the history of febrile convulsions,the age of the first attack less than 24 months,the body temperature during febrile convulsions≥39℃,and the duration of febrile convulsions≥15 minutes were independent risk factors for recurrent convulsions within 24 hours in children with febrile convulsions(P<0.05).Conclusion The recurrence of convulsions within 24 hours in emergency children with febrile convulsions is closely related to the history of febrile convulsions,the age of the first attack,the body temperature during convulsions,and the duration of convulsions.Clinically,these factors should be given special attention.