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月亮周期对小儿热性惊厥是否有影响?:一项单中心回顾性研究(2005-2018 年)。

Are there effects of lunar cycle on pediatric febrile seizure?: A single-center retrospective study (2005-2018).

机构信息

Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea.

Department of Anesthesia and Pain Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea.

出版信息

Sci Total Environ. 2019 Nov 20;692:589-594. doi: 10.1016/j.scitotenv.2019.07.077. Epub 2019 Jul 10.

DOI:10.1016/j.scitotenv.2019.07.077
PMID:31539966
Abstract

BACKGROUND

Several studies have reported an association between seizure and the lunar cycle; however, results are conflicting. Thus, we investigated whether emergency department (ED) visits due to febrile seizure (FS) or FS plus were affected by lunar cycle.

METHODS

We reviewed the medical records of patients who were admitted to the ED with a main diagnosis of FS or FS plus from January 1, 2005 to August 31, 2018 (13 years 8 months), a period of 4991 days with 169 lunar cycles. During that period, we collected weather data such as mean temperature, average atmospheric pressure (AP), and humidity according to lunar phase (new moon, first quarter, full moon, and third or last quarter).

RESULTS

A total of 1979 patients were identified. We found male predominant with a mean age of 2.62 ± 2.09 years. Acute pharyngotonsillitis was the most common cause of fever, generalized tonic-clonic seizure was the most common type of seizure, and the mean peak body temperature was 38.77 ± 0.81 °C. The lunar cycle did not affect the onset or frequency of FS after adjustment; however, several factors, including season, O and NO concentrations, and holidays, were associated with FS.

CONCLUSION

We did not find an association between lunar cycle and FS or FS plus. However, several factors, including season, O, NO, and holidays were associated with FS or FS plus.

摘要

背景

几项研究报告称癫痫发作与月球周期之间存在关联;然而,结果存在矛盾。因此,我们调查了热性惊厥(FS)或 FS 加因是否受月球周期影响而导致急诊科(ED)就诊。

方法

我们回顾了 2005 年 1 月 1 日至 2018 年 8 月 31 日(13 年 8 个月)期间因 FS 或 FS 加因而以主要诊断入住 ED 的患者的病历,共 4991 天 169 个月球周期。在此期间,我们根据月相(新月、上弦月、满月和下弦月或最后一个四分之一月)收集了平均温度、平均大气压力(AP)和湿度等天气数据。

结果

共确定了 1979 例患者。我们发现男性居多,平均年龄为 2.62±2.09 岁。急性扁桃体咽炎是发热最常见的原因,全身性强直阵挛性发作是最常见的发作类型,平均峰值体温为 38.77±0.81°C。调整后,月球周期不会影响 FS 的发作或发作频率;然而,包括季节、O 和 NO 浓度和节假日在内的几个因素与 FS 有关。

结论

我们没有发现月球周期与 FS 或 FS 加因之间存在关联。然而,包括季节、O、NO 和节假日在内的几个因素与 FS 或 FS 加因有关。

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