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运动干预对特发性癫痫犬睡眠和发作频率的影响。

Effect of an intervention of exercise on sleep and seizure frequency in idiopathic epileptic dogs.

机构信息

Department of Medical Sciences, University of Wisconsin - Madison, School of Veterinary Medicine, 2015 Linden Drive, Madison, Wisconsin, 53706, USA.

Barnes Veterinary Specialty Service, Madison, Wisconsin, 53716, USA.

出版信息

J Small Anim Pract. 2023 Feb;64(2):59-68. doi: 10.1111/jsap.13568. Epub 2022 Nov 11.

Abstract

OBJECTIVE

The goal of this study was to compare sleep and seizure frequency between epileptic dogs prescribed a 20% activity increase and epileptic dogs not prescribed an activity increase.

METHODS

Sixty-nine dogs receiving anti-epileptic drug therapy were enrolled in a 6-month prospective, randomised, placebo-controlled clinical trial with an intention-to-treat analysis. A canine activity monitoring device was used to measure activity levels and sleep scores.

RESULTS

Using an intention-to-treat analysis, the treatment group had an average of 0.381 more seizures per month (95% CI: 0.09 to 0.68) compared with the control group, although the difference in seizure days per month was not statistically significant. In a subgroup analysis of dogs whose activity increased by at least 10%, partial compliers had 0.719 more seizures per month (95% CI: 0.22 to 1.22) and 0.581 seizure days per month (95% CI: 0.001 to 1.16) compared with the control group. Sleep scores increased by 1.2% in the treatment compared with the control group (95% CI: 0.2 to 2.3%).

CONCLUSIONS

Seizure frequency and sleep score increased slightly, but significantly, in dogs with idiopathic epilepsy prescribed an increase in activity, compared with a control group.

摘要

目的

本研究旨在比较接受 20%活动量增加治疗的癫痫犬和未接受活动量增加治疗的癫痫犬之间的睡眠和癫痫发作频率。

方法

69 只接受抗癫痫药物治疗的犬参与了一项为期 6 个月的前瞻性、随机、安慰剂对照临床试验,采用意向治疗分析。使用犬类活动监测设备来测量活动水平和睡眠评分。

结果

采用意向治疗分析,与对照组相比,治疗组平均每月多发生 0.381 次癫痫发作(95%CI:0.09 至 0.68),尽管每月癫痫发作天数的差异无统计学意义。在至少增加 10%活动量的犬亚组分析中,部分依从者每月多发生 0.719 次癫痫发作(95%CI:0.22 至 1.22)和 0.581 次癫痫发作天数(95%CI:0.001 至 1.16),与对照组相比。与对照组相比,治疗组的睡眠评分增加了 1.2%(95%CI:0.2 至 2.3%)。

结论

与对照组相比,接受增加活动量治疗的特发性癫痫犬的癫痫发作频率和睡眠评分略有但显著增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85a1/10099787/9f5187ab2557/JSAP-64-59-g001.jpg

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