首页|丙戊酸钠联合左乙拉西坦在小儿癫痫中的治疗有效性分析

丙戊酸钠联合左乙拉西坦在小儿癫痫中的治疗有效性分析

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目的 分析小儿癫痫行丙戊酸钠+左乙拉西坦治疗的效果.方法 非随机选取2023年3月—2024年3月庆阳市人民医院100例癫痫患儿作为研究对象.根据治疗方式不同分为比照组和调查组,各50例.比照组行托吡酯+丙戊酸钠治疗,调查组行左乙拉西坦+丙戊酸钠治疗.比较两组患儿电解质代谢情况,癫痫发作情况、神经损伤因子水平及治疗有效率.结果 治疗后调查组电解质代谢指标、神经损伤因子水平均低于比照组,差异有统计学意义(P均<0.05).治疗后调查组癫痫发作次数少于比照组,持续时间均短于比照组,差异有统计学意义(P均<0.05).调查组治疗有效率为96.00%(48/50),高于比照组的80.00%(40/50),差异有统计学意义(χ2=6.061,P<0.05).结论 左乙拉西坦+丙戊酸钠的治疗有效率较高,能纠正电解质代谢状态,降低各患儿的神经损伤因子水平,从而控制癫痫的发作.
Analysis of the Therapeutic Efficacy of Sodium Valproate Combined with Levetiracetam in Pediatric Epilepsy
Objective To analyze the effect of sodium valproate plus levetiracetam in the treatment of epilepsy in chil-dren.Methods A total of 100 children with epilepsy from Qingyang People's Hospital from March 2023 to March 2024 were non-randomly selected as the study objects.According to different treatment methods,they were divided into comparison group and investigation group,50 cases in each group.The treatment group was treated with topira-mate+sodium valproate,and the investigation group was treated with levetiracetam+sodium valproate.Electrolyte metabolism,seizure,nerve damage factor level and treatment efficiency were compared between the two groups.Re-sults After treatment,the levels of electrolyte metabolism indexes and nerve damage factors in the investigation group were lower than those in the comparison group,and the differences were statistically significant(all P<0.05).After treatment,the number of seizures in the investigation group was less than that in the comparison group,and the dura-tion was shorter than that in the comparison group,the differences were statistically significant(both P<0.05).The ef-fective rate in the investigation group was 96.00%(48/50),which was higher than 80.00%(40/50)in the comparison group,the difference was statistically significant(χ2=6.061,P<0.05).Conclusion The treatment of levetiracetam+so-dium valproate has a high effective rate,can correct the electrolyte metabolism state,reduce the level of nerve damage factors in children,and control the seizure of epilepsy.

Sodium valproateEfficiencyPediatric epilepsyElectrolytesLevetiracetam

张海霞、巩玉钰、李文敏

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庆阳市人民医院儿科二病区,甘肃 庆阳 745000

丙戊酸钠 有效率 小儿癫痫 电解质 左乙拉西坦

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(22)