Study on standardized diagnosis and treatment effect and the prognosis multifactors for outpatient epilepsy children
Objective This project studies the diagnosis,treatment,disease outcomes and prognosis of pediatric epilepsy patients in outpatient clinics.A regression model is used to conduct a multifactor analysis of the prognosis of epilepsy,exploring the impact of standardized diagnosis and treatment on prognosis.Methods 84 children with epilepsy diagnosed in a hospital from June 2022 to June 2023 were randomly selected,a database was established and standardized diagnosis and treatment were carried out according to internationally recognized standards.Regular follow-up blood routine,liver and kidney function,EEG,etc.were required in the outpatient department.After outpatient follow-up,patients were divided into standard treatment group and non-standard treatment group based on their follow-up and medication status.Univariate analysis and multifactor Logistic regression analysis were used to determine the prognosis and influencing factors of children with epilepsy.Results The total effective rate of the standardized treatment group was higher than that of the non-standard treatment group(P＜0.05).Univariate analysis showed that there were differences(P＜0.05)between the two groups in terms of disease duration from onset to standardized diagnosis and treatment,whether the first EEG showed abnormal discharge,compliance and whether standardized diagnosis and treatment were performed.Substituting the above differential items into the Logistic regression equation analysis,it was found that a disease course of more than 1 year from onset to standardized diagnosis and treatment,abnormal discharge of the first EEG and poor compliance were the factors that led to poor prognosis in standardized diagnosis and treatment(OR＞1,P＜0.05).Conclusion Standardized diagnosis and treatment play a positive role in the prognosis of pediatric epilepsy patients in outpatient clinics.The key factors affecting prognosis include the time from onset to standardized diagnosis and treatment,abnormal discharge of the first electroencephalogram,and differences in the patient's compliance.
OutpatientEpilepsyChildrenStandardized diagnosis and treatmentPrognosisMultifactor research
NETL
NSTL
万方数据
