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单纯性热性惊厥患儿25-羟维生素D水平状况及其与惊厥复发的相关性

Status of 25-hydroxy vitamin D level in simple febrile seizures and its correlation with recurrence of seizures.

作者信息

Bhat Jehangir A, Bhat Tasleem Arif, Sheikh Sajad A, Wani Zubair A, Ara Roshan

机构信息

Department of Paediatrics, World college of Medical sciences and research institute, Haryana, India.

Department of Paediatrics, Government Medical College Srinagar, Srinagar, Jammu and Kashmir, India.

出版信息

Avicenna J Med. 2020 Jan 23;10(1):6-9. doi: 10.4103/ajm.ajm_57_19. eCollection 2020 Jan-Mar.

Abstract

BACKGROUND

Febrile seizures are associated with a lot of modifiable and nonmodifiable risk factors. Extensive research is currently going on to discover more and more risk factors of febrile seizures, so that they can be modified to decrease their incidence and recurrence.

AIMS AND OBJECTIVES

The aim of this study was to determine the status of 25-hydroxy vitamin D in children presented with simple febrile seizures and to find its correlation with recurrence of seizures.

MATERIALS AND METHODS

This prospective observational study was conducted on 223 children of age group 7-59 months who presented with simple febrile seizures. 25-hydroxy vitamin D were sent to laboratory for quantitative estimation. All data were recorded, status of vitamin D in these children was analyzed, and statistical significance of correlation of vitamin D with the number of recurrent seizure episodes was derived.

STATISTICAL ANALYSIS

The comparison among groups was carried out by analysis of variance and correlation was conducted by Pearson's correlation analysis. A value of < 0.05 was considered statistically significant.

RESULTS

25-hydroxy vitamin D insufficiency was present in 43.5% of the children, deficiency in 30.85 %, and normal level in 25.56% of children who had simple febrile seizures. Majority of the children presented with recurrent episodes of seizures had vitamin D deficiency followed by insufficiency and normal level. Comparison of Vitamin D showed significant negative correlation (As vitamin D level increases frequency of seizure febrile seizure recurrence decreases and vice versa) with recurrence of simple febrile seizures.

CONCLUSION

Deficiency of vitamin D is associated significantly with simple febrile seizures and their recurrence is negatively correlated with it.

摘要

背景

热性惊厥与许多可改变和不可改变的风险因素相关。目前正在进行广泛研究以发现越来越多的热性惊厥风险因素,以便对其进行调整以降低其发病率和复发率。

目的

本研究的目的是确定出现单纯性热性惊厥的儿童中25-羟基维生素D的状况,并找出其与惊厥复发的相关性。

材料与方法

本前瞻性观察性研究针对223名年龄在7至59个月、出现单纯性热性惊厥的儿童进行。将25-羟基维生素D送去实验室进行定量测定。记录所有数据,分析这些儿童的维生素D状况,并得出维生素D与惊厥复发次数相关性的统计学意义。

统计分析

组间比较采用方差分析,相关性采用Pearson相关分析。P<0.05被认为具有统计学意义。

结果

在出现单纯性热性惊厥的儿童中,43.5%存在25-羟基维生素D不足,30.85%缺乏,25.56%水平正常。大多数出现惊厥复发的儿童存在维生素D缺乏,其次是不足和水平正常。维生素D与单纯性热性惊厥复发的比较显示出显著的负相关(随着维生素D水平升高,热性惊厥复发频率降低,反之亦然)。

结论

维生素D缺乏与单纯性热性惊厥显著相关,且其复发与之呈负相关。

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