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[多不饱和脂肪酸与癫痫]

[Polyunsaturated fatty acids and epilepsy].

作者信息

Farmen Anette Huuse, Lossius Morten I, Nakken Karl O

机构信息

Nevrologisk avdeling Sykehuset Innlandet Lillehammer Anders Sandviks gate 17 2609 Lillehammer.

出版信息

Tidsskr Nor Laegeforen. 2009 Jan 1;129(1):26-8. doi: 10.4045/tidsskr.2009.34487.

Abstract

BACKGROUND

30 % of patients with epilepsy have recurrent drug-resistent seizures. Some children with catastrophic epilepsy have responded well to a ketogenic diet. Polyunsaturated fatty acids are at least partly responsible for the anticonvulsive effect of this diet and could perhaps be used to treat epilepsy.

MATERIAL AND METHODS

The paper is based on literature (published before June 2008) retrieved through a non-systematic search of the Cochrane and PubMed databases. The following search words were used: epilepsy, polyunsaturated fatty acids, clinical trials, ketogen diet, and treatment. Articles focusing on clinical aspects were selected.

RESULTS AND INTERPRETATION

Articles on clinical studies and laboratory research were retrieved from Pubmed, while studies on ketogen diet were retrieved from Cochrane. Animal studies show that increased intake of polyunsaturated fatty acids can reduce the likelihood of epileptic seizures through various biochemical mechanisms. However, there is not sufficient evidence to conclude that polyunsaturated fatty acids have antiepileptic effects in people with epilepsy. More research is needed before polyunsaturated fatty acids can be presented as a treatment option for epilepsy.

摘要

背景

30%的癫痫患者会反复发作耐药性癫痫。一些患有灾难性癫痫的儿童对生酮饮食反应良好。多不饱和脂肪酸至少部分促成了这种饮食的抗惊厥作用,或许可用于治疗癫痫。

材料与方法

本文基于通过对Cochrane和PubMed数据库进行非系统检索获取的文献(2008年6月之前发表)。使用了以下检索词:癫痫、多不饱和脂肪酸、临床试验、生酮饮食和治疗。选取了关注临床方面的文章。

结果与解读

从PubMed检索到了关于临床研究和实验室研究的文章,而从Cochrane检索到了关于生酮饮食的研究。动物研究表明,增加多不饱和脂肪酸的摄入量可通过各种生化机制降低癫痫发作的可能性。然而,没有足够的证据得出多不饱和脂肪酸对癫痫患者有抗癫痫作用的结论。在将多不饱和脂肪酸作为癫痫的一种治疗选择提出之前,还需要更多的研究。

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