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左乙拉西坦联合奥卡西平治疗癫痫患儿的临床效果▲
Clinical effect of levetiracetam combined with oxcarbazepine in the treatment of children with epilepsy

内科 202318卷02期 页码:114-116+126

作者机构:河南省南阳市第二人民医院儿科二病区,南阳市473000

基金信息:▲基金项目:河南省医学科技攻关(联合共建)项目(LHGJ20180957)

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2023.02.03

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  • 英文简介
  • 参考文献
目的探讨左乙拉西坦联合奥卡西平治疗癫痫患儿的效果。方法选取80例癫痫患儿,应用随机数字表法将其分为对照组与观察组,每组40例。对照组患儿应用奥卡西平治疗,观察组患儿在对照组治疗的基础上加用左乙拉西坦治疗,两组均治疗16周。比较两组患儿的治疗效果、脑电图痫样放电改善情况,以及治疗前后的血清神经损伤因子[胶质纤维酸性蛋白(GFAP)、S-100β]和治疗期间不良反应发生情况。结果观察组的治疗总有效率、脑电图总改善率均高于对照组(均P<0.05)。治疗前,两组血清GFAP、S-100β水平的差异均无统计学意义(均P>0.05);治疗16周后,观察组血清GFAP、S-100β水平均低于对照组(均P<0.05)。两组治疗期间不良反应发生率差异无统计学意义(P>0.05)。结论左乙拉西坦联合奥卡西平治疗癫痫患儿效果显著,可有效地减少脑电图痫样放电的发生,保护神经功能,安全可靠。
ObjectiveTo explore the effect of levetiracetam combined with oxcarbazepine in the treatment of children with epilepsy. MethodsA total of 80 children with epilepsy were selected and divided into a control group or an observation group by using the random number table method, with 40 cases in each group. The control group was treated with oxcarbazepine, based on which the observation group was treated with levetiracetam additionally. Both groups were treated for 16 weeks. The therapeutic effect, improvement of epileptiform discharge on electroencephalogram, and serum nerve injury factors (glial fibrillary acidic protein [GFAP], S-100β) before and after treatment, as well as the occurrence of adverse reactions during treatment, were compared between the two groups. ResultsThe total effective rate of treatment and overall improvement rate of electroencephalogram in the observation group were higher than those in the control group (all P<0.05). Before treatment, there was no statistically significant difference in serum GFAP or S-100β level between the two groups (all P>0.05). After 16 weeks of treatment, the serum GFAP and S-100β levels of the observation group were lower than those of the control group (all P<0.05). There was no statistically significant difference in the incidence of adverse reactions during treatment between the two groups (P>0.05). ConclusionThe combination of levetiracetam and oxcarbazepine has a significant effect in the treatment of children with epilepsy, which can effectively reduce the occurrence of epileptiform discharge on electroencephalogram and protect the neurological function and is safe and reliable.

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