You Su Jeong
Department of Pediatrics, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.
Neuropediatrics. 2020 Oct;51(5):354-358. doi: 10.1055/s-0040-1701442. Epub 2020 Feb 3.
Benign convulsions with mild gastroenteritis (CwG) is a condition that does not usually require treatment. However, when the patient experiences multiple seizures or prolonged seizures, anticonvulsant treatment may be required. We investigated this study to identify the factors that may influence on the number or duration of seizures at CwG.
We retrospectively analyzed the medical records of CwG patients who were admitted to the Department of Pediatrics at Sanggye Paik Hospital.
A total of 105 children with CwG were enrolled. The mean age was 19.59 ± 7.09 months. The mean duration of seizure was 2.79 ± 5.51 minutes and mean number of seizure was 2.33 ± 1.70. Sixty-nine children had seizures less than twice, whereas 36 experienced three times or more. These groups differed significantly according to age in CwG (18.16 ± 7.08, vs. 22.33 ± 6.34 months, < 0.05). When patients were divided into two groups based on age in CwG using a cut-off of 20 months, we found significant differences in seizure number (1.91 ± 1.27 vs. 3.11 ± 2.10, < 0.05). There was also a positive correlation between patient age and frequency of seizures ( = 0.316, = 0.001). Patients who received anticonvulsants were older (17.60 ± 6.87 vs. 22.04 ± 6.63 months, < 0.05) and had more frequent (1.59 ± 1.37 vs. 3.26 ± 1.63, < 0.05) and longer seizures (1.76 ± 2.75 vs. 4.07 ± 7.49 minutes, < 0.05).
As the number of seizure in CwG was associated with age, treatment in older children may be required in acute stage.
轻度胃肠炎伴良性惊厥（CwG）通常无需治疗。然而，当患者出现多次发作或长时间发作时，可能需要抗惊厥治疗。我们开展这项研究以确定可能影响CwG发作次数或持续时间的因素。
我们回顾性分析了收治于上溪白医院儿科的CwG患者的病历。
共纳入105例CwG患儿。平均年龄为19.59±7.09个月。平均发作持续时间为2.79±5.51分钟，平均发作次数为2.33±1.70次。69例患儿发作少于两次，而36例发作三次或更多。这些组在CwG中的年龄差异显著（18.16±7.08，与22.33±6.34个月，<0.05）。当根据CwG中的年龄以20个月为界将患者分为两组时，我们发现发作次数存在显著差异（1.91±1.27与3.11±2.10，<0.05）。患者年龄与发作频率之间也存在正相关（=0.316，=0.001）。接受抗惊厥药物治疗的患者年龄较大（17.60±6.87与22.04±6.63个月，<0.05），发作更频繁（1.59±1.37与3.26±1.63，<0.05）且发作时间更长（1.76±2.75与4.07±7.49分钟，<0.05）。
由于CwG发作次数与年龄相关，急性期可能需要对大龄儿童进行治疗。
