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酮症与生长与 ketogenic 饮食治疗婴儿痉挛疗效的关系。

The relationship of ketosis and growth to the efficacy of the ketogenic diet in infantile spasms.

机构信息

Department of Neurology, Massachusetts General Hospital, Boston, MA, USA.

出版信息

Epilepsy Res. 2011 Sep;96(1-2):172-5. doi: 10.1016/j.eplepsyres.2011.05.012. Epub 2011 Jun 22.

DOI:10.1016/j.eplepsyres.2011.05.012
PMID:21700429
Abstract

The ketogenic diet (KD) is a treatment of infantile spasms (IS). Here, we examine the efficacy of KD in medically refractory IS, examine its impact on growth in infants, and explore its mechanism of action. At 1-3 months after the initiation of the KD, 46% of twenty-six patients had a greater than 90% reduction in IS. No significant relationships between reduction in IS and serum β-hydroxybutyrate, or glucose levels were identified. Also, the KD had not significantly altered patient's growth parameters. Thus, in corroborating with prior studies, we demonstrate the KD is a well-tolerated and efficacious treatment of IS.

摘要

生酮饮食(KD)是婴儿痉挛症(IS)的一种治疗方法。在这里,我们研究 KD 在治疗医学难治性 IS 中的疗效,检查其对婴儿生长的影响,并探讨其作用机制。在 KD 开始后的 1-3 个月,26 名患者中有 46%的患者 IS 减少了 90%以上。未发现 IS 减少与血清 β-羟基丁酸或葡萄糖水平之间存在显著关系。此外,KD 并未显著改变患者的生长参数。因此,与先前的研究一致,我们证明 KD 是一种耐受良好且有效的 IS 治疗方法。

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