小剂量托吡酯联合复方氨基丁酸维E治疗小儿癫痫部分发作的疗效及神经功能保护作用

Clinical efficacy and neurological function protection of low-dose Topiramate combined with Compound Amino Acid and Vitamin E capsules in treatment of pediatric epilepsy with partial seizures

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(1)
作者
作者单位

宝鸡市中心医院 ;
宝鸡市中心医院 ;

摘要
【摘要】探讨小剂量托吡酯联合复方氨基丁酸维E治疗小儿癫痫部分性发作(PS)的疗效及其神经功能保护作用。方法 将120例PS癫痫患儿随机分为两组:对照组(n=60)采用小剂量托吡酯治疗,观察组(n=60)在对照组基础上使用复方氨基丁酸维E治疗12周。比较两组临床疗效、脑电图疗效,治疗前后检测血清S100β 蛋白、神经元特异性烯醇化酶(NSE)、白介素-2(IL-2)水平,并采用交感神经皮肤反应(SSR)测定自主神经功能。结果 观察组的总有效率和心电图缓解率分别为95.00%、85.00%,显著高于对照组的83.33%、71.67%(P<0.05);治疗后观察组的癫痫发作频次、发作时间、血清S100β、NSE、IL-2水平均显著低于对照组(P<0.05);治疗后观察组SSR潜伏期较对照组明显缩短而波幅明显升高(P<0.05)。结论 小剂量托吡酯联合复方氨基丁酸维E治疗PS癫痫患儿可有效控制癫痫发作,改善脑电图并保护神经功能。
Abstract
【Abstract】 Objective To investigate the efficacy and neurological function protection of low-dose Topiramate combined with Compound Amino Acid and Vitamin E capsules in treatment of pediatric epilepsy with partial seizures (PS). Methods A total of 120 pediatric epilepsy with PS were randomly divided into two groups: the control group (n=60) treated with low-dose Topiramate, the observation group (n=60) treated with Compound Amino Acid and Vitamin E capsules on the basis of control group for 12 weeks. The levels of serum S100β protein, NSE and IL-2 were measured before and after treatment, and the sympathetic skin reaction (SSR) was determined. Results The total effective rate and ECG remission rate of the observation group were 95.00% and 85.00% respectively, significantly higher than 83.33% and 71.67% of the control group (P<0.05); After treatment,the frequency and time of seizures, serum levels of S100β, NSE and IL-2 in observation group was significantly lower than the control group (P<0.05);The latency of SSR in the observation group was significantly shorter than that in the control group, while the amplitude was significantly increased (P<0.05). Conclusion Low-dose Topiramate combined with Compound Amino Acid and Vitamin E capsules in treatment of pediatric epilepsy with PS can effectively control seizures, improve EEG and protect neurological function.
关键词
【关键词】部分性发作癫痫;小儿癫痫;托吡酯;复方氨基丁酸维E;神经功能
KeyWord
【Key words】 Partial seizures epilepsy; Pediatric epilepsy; Topiramate; Compound Amino Acid and Vitamin E capsules; Neurological function
基金项目
页码 141-143
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董秦川,马红茹*,李冬梅,韩丽华. 小剂量托吡酯联合复方氨基丁酸维E治疗小儿癫痫部分发作的疗效及神经功能保护作用 [J]. 国际精神病学杂志. 2018; 45; (1). 141 - 143.

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