首页|地西泮预防儿童高热惊厥复发的效果

地西泮预防儿童高热惊厥复发的效果

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目的 探讨地西泮预防儿童高热惊厥复发的效果及对其血清微量元素和心肌酶谱指标的影响。方法 选取高热惊厥复发患儿100例作为研究对象,按照随机数字表法分为观察组和对照组,每组50例。对照组进行常规治疗,观察组在对照组治疗的基础上采用地西泮治疗,比较 2 组体温减退情况、血清微量元素(钙和铁)、心肌酶谱指标[天冬氨酸氨基转移酶(aspartate aminotransferase,AST)、心肌激酶同工酶(creatine kinase-MB,CK-MB)和乳酸脱氢酶(lactate dehydrogenase,LDH)]、不良反应发生情况和疾病复发情况。结果 治疗30 min和1 h后,观察组的体温低于对照组(P<0。05);治疗后,观察组的血清钙和铁水平高于对照组(P<0。05);观察组的AST、CK-MB和LDH水平低于对照组(P<0。05);观察组发热和惊厥的复发率低于对照组(P<0。05);2组不良反应发生率比较差异无统计学意义(P>0。05)。结论 地西泮可有效预防儿童高热惊厥复发,有助于维持其血清钙和铁水平正常,减轻心肌损伤,且安全性较好。
Efficacy of diazepam on preventing the recurrence of febrile convulsion in children
Objective To explore the preventive efficacy of diazepam on the recurrence of febrile convulsion and its influences on serum trace elements and myocardial enzymes.Methods A total of 100 children with recurrent febrile convulsion were enrolled as the research objects.According to random number table method,they were divided into observation group and control group,50 cases in each group.The control group was given routine treatment,while the observation group was additionally given diazepam.The clinical curative effect,serum trace elements(calcium and iron),myocardial enzymes[aspartate aminotransferase(AST),creatine kinase-MB(CK-MB),and lactate dehydrogenase(LDH)],adverse reactions and disease recurrence were compared between the 2 groups.Results After 30 minutes and 1 hour treatment,the temperature in observation group was lower than that in control group(P<0.05).After treatment,the levels of serum calcium and iron in observation group were higher than those in control group(P<0.05),the levels of AST,CK-MB and LDH were lower than those in control group(P<0.05),and the recurrence rate of fever and convulsion was lower than that in control group(P<0.05).There was no significant difference in adverse reactions between the 2 groups(P>0.05).Conclusion Diazepam can effectively prevent the recurrence of febrile convulsion in children,which is beneficial to maintain the normal levels of serum calcium and iron,reduce myocardial damage,with good safety.

diazepamfebrile convulsion in childrentrace elementmyocardial enzyme

谢玲、黄娆、钟兰兰

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海口市妇幼保健院儿内科,海口 570100

地西泮 小儿高热惊厥 微量元素 心肌酶谱

海南省卫生健康行业科研项目

20A200330

2024

西北药学杂志
西安交通大学,陕西省药学会

西北药学杂志

CSTPCD
影响因子:0.912
ISSN:1004-2407
年,卷(期):2024.39(4)