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癫痫患儿医源性骨软化症。一项对照治疗试验。

Iatrogenic osteomalacia in epileptic children. A controlled therapeutic trial.

作者信息

Christiansen C, Rodbro P, Nielsen C T

出版信息

Acta Paediatr Scand. 1975 Mar;64(2):219-24. doi: 10.1111/j.1651-2227.1975.tb03825.x.

DOI:10.1111/j.1651-2227.1975.tb03825.x
PMID:1130178
Abstract

Bone mineral content (BMC) ub tge forearms (related to total body calcium) was measured for a controlled therapeutic trial in 25 epileptic children on long-term treatment with phenytoin and in 22 normal children before and during treatment with vitamin D or placebo. In the epileptic children, hypocalcaemia and elevated serum alkaline phosphatase was found in 20% and 16%, respectively. The group of epileptic children treated with vitamin D2 (2000 IU daily) for 3 months showed a significant increase in bone mineral content, 5% on average. The epileptic children treated with placebo showed a significant decrease, 2% on average, while the normal children treated with vitamin D or placebo showed no change in bone mineral content. The results indicate a possible benefit of prophylactic vitamin D treatment in epileptic children.

摘要

在一项对照治疗试验中,对25名长期接受苯妥英治疗的癫痫儿童以及22名正常儿童在服用维生素D或安慰剂之前及期间测量了前臂的骨矿物质含量(与全身钙含量相关)。在癫痫儿童中,分别有20%和16%的儿童出现低钙血症和血清碱性磷酸酶升高。接受维生素D2(每日2000国际单位)治疗3个月的癫痫儿童组骨矿物质含量显著增加,平均增加5%。接受安慰剂治疗的癫痫儿童骨矿物质含量显著下降,平均下降2%,而接受维生素D或安慰剂治疗的正常儿童骨矿物质含量没有变化。结果表明预防性维生素D治疗对癫痫儿童可能有益。

相似文献

1
Iatrogenic osteomalacia in epileptic children. A controlled therapeutic trial.癫痫患儿医源性骨软化症。一项对照治疗试验。
Acta Paediatr Scand. 1975 Mar;64(2):219-24. doi: 10.1111/j.1651-2227.1975.tb03825.x.
2
Incidence of anticonvulsant osteomalacia and effect of vitamin D: controlled therapeutic trial.抗惊厥药所致骨软化症的发病率及维生素D的作用:对照治疗试验
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Effect of vitamin D on bone mineral mass in normal subjects and in epileptic patients on anticonvulsants: a controlled therapeutic trial.维生素D对正常受试者及服用抗惊厥药的癫痫患者骨矿物质含量的影响:一项对照治疗试验。
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引用本文的文献

1
Bone complications of anticonvulsants.抗惊厥药的骨骼并发症。
Drugs. 1976;12(3):201-11. doi: 10.2165/00003495-197612030-00003.
2
Disordered mineral metabolism produced by ketogenic diet therapy.生酮饮食疗法导致的矿物质代谢紊乱。
Calcif Tissue Int. 1979 Aug 24;28(1):17-22. doi: 10.1007/BF02441213.