Khoshdel Abolfazl, Parvin Neda, Abbasi Maedeh
Department of Pediatrics, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Korean J Pediatr. 2013 Feb;56(2):80-5. doi: 10.3345/kjp.2013.56.2.80. Epub 2013 Feb 25.
Febrile seizures (FS) are seizures that occur between the age of 6 and 60 months, but its pathophysiology still is not fully understood. There is limited information about the correlation between levels of selenium and leptin with FS. This study aimed to determine the relationship between serum levels of selenium and leptin in children with FS.
This case-control study was conducted in a University Hospital in Shahrekord, Iran, in 2011. The serum levels of selenium and leptin of 25 children with simple febrile seizure (case group) were compared with 25 febrile children without seizure (control group) in acute phase and after three months. The levels of serum selenium and leptin were measured by flame atomic absorption spectrophotometer and enzyme-linked immunosorbent assay method, respectively.
In acute phase, the mean serum level of selenium in case and control groups were 95.88±42.55 and 113.25±54.43 µg/dL, respectively, and difference was not significant (P=0.415), but after three months, this level had a significant increase in both groups (P<0.001). In acute phase, the mean serum leptin level in case and control groups were 0.94±0.5 and 0.98±0.84 ng/mL, respectively, but difference was not significant (P=0.405). After three months, serum leptin level had no significant change in both groups (P=0.882).
These observations suggest that serum levels of selenium and leptin have not specific relation with FS but overllay is lower, however, further study is recommended. Also selenium level in stress and acute phase was significantly lower than recovery phase.
热性惊厥(FS)是发生在6个月至60个月龄之间的惊厥,但对其病理生理学仍未完全了解。关于硒和瘦素水平与FS之间的相关性信息有限。本研究旨在确定FS患儿血清硒和瘦素水平之间的关系。
本病例对照研究于2011年在伊朗设拉子的一家大学医院进行。将25例单纯热性惊厥患儿(病例组)与25例无惊厥的发热儿童(对照组)在急性期和三个月后的血清硒和瘦素水平进行比较。血清硒和瘦素水平分别采用火焰原子吸收分光光度计和酶联免疫吸附测定法测量。
急性期,病例组和对照组的血清硒平均水平分别为95.88±42.55和113.25±54.43μg/dL,差异无统计学意义(P=0.415),但三个月后,两组该水平均显著升高(P<0.001)。急性期,病例组和对照组的血清瘦素平均水平分别为0.94±0.5和0.98±0.84ng/mL,但差异无统计学意义(P=0.405)。三个月后,两组血清瘦素水平均无显著变化(P=0.882)。
这些观察结果表明,血清硒和瘦素水平与FS无特定关系,但总体水平较低,然而,建议进一步研究。此外,应激和急性期的硒水平显著低于恢复期。