热性惊厥与注意缺陷多动障碍关系探讨

叶楚君, 罗素, 戴品军, 唐佳娜, 叶扬海, 陈刚, 周静

中国当代儿科杂志 ›› 1999, Vol. 1 ›› Issue (3) : 140-142.

中国当代儿科杂志 ›› 1999, Vol. 1 ›› Issue (3) : 140-142.
论著

热性惊厥与注意缺陷多动障碍关系探讨

  • 叶楚君,罗素,戴品军,唐佳娜,叶扬海,陈刚,周静
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Relationship between febrile convulsion and attention deficit hyperactivity disorder

  • YE Chu-Jun, LUO Su, DAI Pin-Jun, TANG Jia-Na, YE Yang-Hai, CHEN Gang, ZHOU Jing
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摘要

目的 探讨热性惊厥(FC)与注意缺陷多动障碍(ADHD)的关系。方法 由小儿神经专科医师对172例FC进行5~10年远期随访,Conner’s简明症状问卷等方法对患儿进行测试。结果 有FC史小儿ADHD患病率为23.8%(41/72),与无FC史的小儿ADHD患病率5.1%(14/273)相比,差异有非常显著性(P﹤0.01)。另外FC的发作次数﹤4次和≥4次,持续时间﹤30min和≥30min ADHD患病率相比均有非常显著差异(P<0.01)。结论 本资料提示FC多次、长时间发作可能是小儿ADHD发生原因之一,小儿反复性热性惊厥,有复发或癫痫危险因素宜用药物预防。

Abstract

Objective To study the relationship between febrile convulsion (FC) and attention deficit hyperactivity disorder (ADHD).Methods One hundred and seventy-two children with FC were examined using Conner's abbreviated symptom questionnaire by neurological pediatrician and followed-up for 5 to 10 years.Results There were 41 cases of ADHD in 172 cases of FC. The morbidity of ADHD was significantly higher in the children with FC (23.8%, 41/172) than that children without FC (5.1%, 14/273), (P<0.01).The morbidity of ADHD was significantly higher in the FC children with fits frequency ≥4 and fits duration ≥30 min than those FC children with fits frequency <4 amd fits duration <30 min. Conclusions The results suggest that multiple and prolonged convulsion is one of causes of ADHD in children.Anticonvulsants and prophylaxis should be given to children with FC and with a risk of recurrence and epilepsy.

关键词

热性惊厥 / 注意多动障碍 / 随访 / 儿童

Key words

Ferile convulsion / ADHD / Follow-up / Children

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叶楚君, 罗素, 戴品军, 唐佳娜, 叶扬海, 陈刚, 周静. 热性惊厥与注意缺陷多动障碍关系探讨[J]. 中国当代儿科杂志. 1999, 1(3): 140-142
YE Chu-Jun, LUO Su, DAI Pin-Jun, TANG Jia-Na, YE Yang-Hai, CHEN Gang, ZHOU Jing. Relationship between febrile convulsion and attention deficit hyperactivity disorder[J]. Chinese Journal of Contemporary Pediatrics. 1999, 1(3): 140-142

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