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锌状态与热性惊厥:一项横断面研究的结果

Zinc Status and Febrile Seizures: Results from a Cross-sectional Study.

作者信息

Arul Janani, Kommu Peter Prasanth Kumar, Kasinathan Ananthanarayanan, Ray Lopamudhra, Krishnan Lalitha

机构信息

Department of Pediatrics, Pondicherry Institute of Medical Sciences, Puducherry, India.

Department of Biochemistry, Pondicherry Institute of Medical Sciences, Puducherry, India.

出版信息

J Neurosci Rural Pract. 2020 Oct;11(4):597-600. doi: 10.1055/s-0040-1715992. Epub 2020 Sep 8.

DOI:10.1055/s-0040-1715992
PMID:33144797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7595794/
Abstract

To estimate the serum zinc levels in children under the age of 5 years with febrile seizures and febrile children without seizures  In this cross-sectional study from 2017 to 2018, 40 children with febrile seizures (simple and complex) were taken as cases. Forty age- and sex-matched febrile children without convulsions were recruited as controls. Serum zinc estimates were analyzed using a spectrophotometer (Biolis 50i-Autoanalyzer).  The demographic variables and serum zinc estimates were analyzed using the Mann-Whitney test. The odds ratio was used to calculate the association of zinc deficiency in febrile seizures; 5% level of significance was considered.  The mean serum concentrations of zinc in the cases and controls were 83.8 ± 33.1 μg/dL and 116.3 ± 30.3 μg/dL, respectively ( = 0.002). Hypozincemia defined by "a serum zinc level of less than 63 μg/dL" was found in 12 (30%) cases and 2(5%) controls with an odds ratio of 8:1.  Children with febrile seizures had significantly reduced concentrations of zinc in the serum.

摘要

评估5岁以下热性惊厥儿童和无热性惊厥发热儿童的血清锌水平 在这项2017年至2018年的横断面研究中,40例热性惊厥(简单型和复杂型)儿童作为病例组。招募40例年龄和性别匹配的无惊厥发热儿童作为对照组。使用分光光度计(Biolis 50i自动分析仪)分析血清锌含量。 使用曼-惠特尼检验分析人口统计学变量和血清锌含量。比值比用于计算热性惊厥中锌缺乏的关联;显著性水平设定为5%。 病例组和对照组的血清锌平均浓度分别为83.8±33.1μg/dL和116.3±30.3μg/dL(P=0.002)。血清锌水平低于63μg/dL定义的低锌血症在12例(30%)病例组和2例(5%)对照组中出现,比值比为8:1。 热性惊厥儿童血清锌浓度显著降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b807/7595794/95617bfa7ad5/10-1055-s-0040-1715992_00787_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b807/7595794/95617bfa7ad5/10-1055-s-0040-1715992_00787_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b807/7595794/95617bfa7ad5/10-1055-s-0040-1715992_00787_01.jpg

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Serum Zinc Level in Children with Febrile Seizure.热性惊厥患儿的血清锌水平
Iran J Child Neurol. 2020 Winter;14(1):43-47.
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Relation of Iron and Zinc Deficiencies to the Occurrence of Febrile Convulsions.铁缺乏和锌缺乏与热性惊厥发生的关系。
J Pediatr Neurosci. 2019 Apr-Jun;14(2):61-64. doi: 10.4103/jpn.JPN_9_19.
3
The genetics and molecular biology of fever-associated seizures or epilepsy.发热相关癫痫发作或癫痫的遗传学和分子生物学。
聚焦微量元素:热性惊厥血清浓度的系统评价与荟萃分析
Biol Trace Elem Res. 2025 Feb;203(2):729-744. doi: 10.1007/s12011-024-04221-5. Epub 2024 May 8.
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The long-term neurodevelopmental outcomes of febrile seizures and underlying mechanisms.热性惊厥的长期神经发育结局及其潜在机制。
Front Cell Dev Biol. 2023 May 25;11:1186050. doi: 10.3389/fcell.2023.1186050. eCollection 2023.
5
Serum Levels of Growth-Associated Protein-43 and Neurotrophin-3 in Childhood Epilepsy and Their Relation to Zinc Levels.血清生长相关蛋白-43 和神经营养因子-3 在儿童癫痫中的水平及其与锌水平的关系。
Biol Trace Elem Res. 2023 Feb;201(2):689-697. doi: 10.1007/s12011-022-03213-7. Epub 2022 Mar 29.
6
Biochemical Assessments of Neurotrophin-3 and Zinc Involvement in the Pathophysiology of Pediatric Febrile Seizures : Biochemical Markers in Febrile Seizures.神经营养因子-3和锌参与小儿热性惊厥病理生理学的生化评估:热性惊厥中的生化标志物
Biol Trace Elem Res. 2022 Jun;200(6):2614-2619. doi: 10.1007/s12011-021-02886-w. Epub 2021 Aug 18.
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The Zinc-Sensing Receptor GPR39 in Physiology and as a Pharmacological Target.锌感应受体GPR39的生理学功能及其作为药理学靶点的研究
Int J Mol Sci. 2021 Apr 8;22(8):3872. doi: 10.3390/ijms22083872.
Expert Rev Mol Med. 2018 Apr 17;20:e3. doi: 10.1017/erm.2018.2.
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Continuum (Minneap Minn). 2016 Feb;22(1 Epilepsy):51-9. doi: 10.1212/CON.0000000000000274.
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6
Possible role of trace elements in epilepsy and febrile seizures: a meta-analysis.微量元素在癫痫和热性惊厥中的可能作用:一项荟萃分析。
Nutr Rev. 2015 Nov;73(11):760-79. doi: 10.1093/nutrit/nuv026. Epub 2015 Oct 2.
7
Comparison of Serum Zinc Levels among Children with Simple Febrile Seizure and Control Group: A Systematic Review.单纯性热性惊厥患儿与对照组血清锌水平的比较:一项系统评价
Iran J Child Neurol. 2015 Winter;9(1):17-24.
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Zinc and its importance for human health: An integrative review.锌及其对人类健康的重要性:一项综合综述。
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