首页|复方氨基丁酸维E联合丙戊酸钠对癫痫患儿认知功能及血清α-Syn、HSP70水平的影响

复方氨基丁酸维E联合丙戊酸钠对癫痫患儿认知功能及血清α-Syn、HSP70水平的影响

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目的 研究复方氨基丁酸维E联合丙戊酸钠对癫痫患儿认知功能及血清α-突触核蛋白(α-Syn)、热休克蛋白70(HSP70)水平的影响.方法 选取周口市中心医院收治的116例癫痫患儿,根据治疗方案分为联合组和对照组,各58例.对照组接受丙戊酸钠治疗,联合组接受复方氨基丁酸维E联合丙戊酸钠治疗.比较两组临床疗效、治疗前、治疗3、6个月后癫痫持续发作时间及发作频率、韦氏儿童智力量表第四版(WISC-Ⅳ)及简易精神状态检测量表(MMSE)评分、血清相关因子[α-Syn、神经元特异性烯醇化酶(NSE)、HSP70、脑源性神经营养因子(BDNF)]水平、不良反应发生率.结果 联合组临床总有效率高于对照组(P<0.05).治疗3、6个月后,联合组癫痫发作频率少于对照组,持续发作时间短于对照组(P<0.05);WISC-Ⅳ、MMSE评分高于对照组(P<0.05);血清HSP70、α-Syn、NSE水平低于对照组,BDNF水平高于对照组(P<0.05).两组间不良反应总发生率差异无统计学意义(P>0.05).结论 采用复方氨基丁酸维E与丙戊酸钠联合治疗可有效改善癫痫患儿认知功能及神经功能,降低癫痫持续发作时间及发作频率,增强疗效,安全性良好.
Effects of Compound Vitamin E Aminobutyrate Combined with Sodium Valproate on Cognitive Function and Serum α-Syn and HSP70 Levels in Children with Epilepsy
Objective To study the effects of compound vitamin E aminobutyrate combined with sodium valproate on cognitive function and serum α-synuclein(α-Syn)and heat shock protein 70(HSP70)levels in children with epilepsy.Methods A total of 116 children with epilepsy were selected from Zhoukou Central Hospital and divided into a combined group and a control group according to the treatment plan,with 58 cases in each group.The control group received sodium valproate treatment,while the combined group received compound aminobutyric acid vitamin E combined with sodium valproate treatment.The clinical efficacy and adverse reaction rates were compared between the two groups,as well as the duration and frequency of seizures,the scores of the Wechsler intelligence scale for children-fourth edition(WISC-Ⅳ)and the mini-mental state examination(MMSE),and the levels of serum-related factors[α-Syn,neuron-specific enolase(NSE),HSP70,brain-derived neurotrophic factor(BDNF)]before and after 3 and 6 months of treatment.Results The total clinical effective rate of the combined group was higher than that of the control group(P<0.05).After 3 and 6 months of treatment,the frequency of seizures in the combined group was lower than that in the control group,and the duration of continuous seizures was shorter than that in the control group(P<0.05).The scores of WISC-Ⅳ and MMSE were higher than those of the control group(P<0.05).The levels of serum HSP70,α-Syn,and NSE were lower than those in the control group,while the level of BDNF was higher than that in the control group(P<0.05).There was no statistical difference in the overall incidence of adverse reactions between the two groups(P>0.05).Conclusion The combination treatment of compound vitamin E aminobutyrate and sodium valproate can effectively improve the cognitive function and neurological function of children with epilepsy,reduce the duration and frequency of seizures,and enhance the efficacy and safety.

epilepsycompound vitamin E aminobutyratesodium valproatecurative effect

尚凤伟、王瑞丽、李海珍、马振林

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周口市中心医院儿科,河南周口 466100

癫痫 复方氨基丁酸维E 丙戊酸钠 疗效

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(15)