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目的探讨酸碱平衡紊乱对热性惊厥患儿各血气指标影响。方法将81例热性惊厥患儿分为单纯热性惊厥组49例和复杂热性惊厥组32例,同时选35例健康儿童为对照组,采用血气分析仪检测热性惊厥患儿的血气水平,分析各患儿酸碱失衡的类别。结果 81例患儿中52例发生了不同程度的酸碱平衡紊乱,其中单纯酸碱失衡占63.46%,双重酸碱失衡占30.77%,多重酸碱失衡占3.85%。热性惊厥组PCO2和TCO2均低于对照组,而p H高于对照组,二者比较差异有统计学意义(P<0.01)。复杂热性惊厥组TCO2(20.61±4.98)低于单纯热性惊厥组(22.74±3.64),p H(7.49±0.08)高于单纯热性惊厥组(7.44±0.06),二者比较差异有统计学意义(P<0.05)。复杂热性惊厥组PCO2(4.42±1.26)低于单纯热性惊厥组(4.75±1.23),但二者比较差异无统计学意义(P>0.05)。结论热性惊厥患儿酸碱失衡的发生率高,临床应注意对热性惊厥患儿的血气水平的检测,及时纠正酸碱平衡紊乱。
Objective To investigate the effect of acid-base balance disorders on blood gas indexes in children with febrile seizures. Methods A total of 81 children with febrile seizures were divided into simple febrile seizure group (n = 49) and complicated febrile seizure group (n = 32). 35 healthy children were selected as control group. Blood gas analyzer was used to detect blood gas levels in children with febrile seizures , Analysis of various types of acid-base imbalance in children. Results Of the 81 cases, 52 cases had different degrees of acid-base balance disorder. Among them, simple acid-base imbalance accounted for 63.46%, double acid-base imbalance accounted for 30.77% and multiple acid-base imbalance accounted for 3.85%. PCO2 and TCO2 in febrile seizure group were lower than those in control group, while p H was higher than that in control group, the difference was statistically significant (P <0.01). TCO2 (20.61 ± 4.98) in complicated febrile seizures group was lower than that in febrile seizure group (22.74 ± 3.64), p H (7.49 ± 0.08) was higher than that in febrile seizure group (7.44 ± 0.06) Significance (P <0.05). PCO2 (4.42 ± 1.26) in complex febrile seizures group was lower than that in febrile seizure group (4.75 ± 1.23), but there was no significant difference between the two groups (P> 0.05). Conclusions The incidence of acid-base imbalance in children with febrile seizures is high. Clinicians should pay attention to the detection of blood gas levels in children with febrile seizures and correct the acid-base balance disorders in time.