地西泮联合苯巴比妥治疗小儿热性惊厥的临床效果

康晓辉1 ，张阿维2

（咸阳市彩虹医院：1.小儿内科；2 .新生儿科，陕西 咸阳，712000）

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摘要：

目的 分析地西泮联合苯巴比妥治疗小儿热性惊厥的临床效果。方法 选取我院2016年1月至2016年12月收治的76例热性惊厥患儿作为研究对象，根据不同治疗方式将其分为研究组（38 例）与对照组（38 例）。对照组给予苯巴比妥治疗，研究组给予地西泮联合苯巴比妥治疗；比较两组热性惊厥患儿的治疗总有效率、惊厥控制时间以及并发症发生率。结果 与对 照组相比，研究组的治疗总有效率为92.10%，高于对照组的68.42%，差异有统计学意义（P<0.05）；研究组的惊厥控制时间为（11.04±2.66）min，短于对照组的（15.37±4.86）min，差异有统计学意义（P<0.05）；研究组的并发症发生率为5.26%，低于对照 组的23.68%，差异有统计学意义（P<0.05）。结论 地西泮联合苯巴比妥治疗小儿热性惊厥的临床效果显著，可缩短惊厥控制 时间，降低并发症发生率，进一步提升治疗效果，值得在临床治疗工作中推广运用。

关键词：地西泮；苯巴比妥；热性惊厥

中图分类号：R720.597文献标志码：A文章编号：2096-1413(2017)32-0101-02

Clinical effect observation of diazepam combined with phenobarbital in children with febrile convulsion
KANG Xiao-hui 1, ZHANG A-wei 2
(1. Department of Pediatrics; 2. Department of Neonatology, Xianyang Rainbow Hospital, Xianyang 712000, China)

ABSTRACT: Objective To analyze the clinical effect of diazepam combined with phenobarbital in the treatment of febrile convulsion in children. Methods A total of 76 children with febrile convulsion treated in our hospital from January to December in 2016 were selected and divided into study group (38 cases) and control group (38 cases) according to different treatment methods. The control group was treated with phenobarbital, and the study group was treated with diazepam combined with phenobarbital. The total effective rate, the time of convulsion control and the incidence of complications between the two groups were compared. Results Compared with the control group, the total effective rate of the study group was 92.10%, which was higher than 68.42% of control group (P<0.05); the time of convulsive control of the study group was (11.04±2.66) min , which was shorter than (15.37±4.86) min of the control group, the difference was statistically significant (P<0.05); the incidence of complications of the study group was 5.26%, which was less than 23.68% of the control group (P<0.05). Conclusion Diazepam combined with phenobarbital in the treatment of febrile convulsion in children is significant. It can shorten the time of convulsion control, reduce the chance of complications, and further enhance the therapeutic effect, which is worth to be promoted in clinical treatment.
KEYWORDS: diazepam; phenobarbital; febrile convulsion

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