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有热性惊厥和无热性惊厥的发热儿童维生素B水平的比较:一项前瞻性单中心研究。

Comparison of vitamin B levels in febrile children with and without febrile seizures: A prospective single-center study.

作者信息

Huang Ying, Wen Xinxin, Guo Hongxuan, Cao Jianwei

机构信息

The First Clinical Medical College, Guangdong Medical University, Zhanjiang, Guangdong, China.

Department of Pediatrics, Zhongshan City People's Hospital Affiliated to Guangdong Medical University, Zhongshan, Guangdong, China.

出版信息

Medicine (Baltimore). 2025 Mar 21;104(12):e41891. doi: 10.1097/MD.0000000000041891.

Abstract

Febrile seizures (FS) are among the most common neurological disorders in childhood, and their pathogenesis may be influenced by multiple factors. As scientific research progresses, the significant role of B vitamins in the nervous system has become progressively clearer. In this study, children clinically diagnosed with FS were selected as the experimental group, and febrile children without a history of convulsions or a family history of seizures were selected as the control group to investigate the potential correlation between FS and whole-blood B vitamin levels. The concentrations of B vitamins in whole blood were measured using liquid chromatography-mass spectrometry, and statistical analyses were conducted using SPSS 25.0, followed by significance testing. The levels of vitamins B1, B2, B5, B6, B7, and B12 in the experimental group were significantly higher than those in the control group, particularly vitamins B5 and B7 (P < .05). Additionally, statistically significant differences were observed between sodium and calcium ion levels. These results suggest that febrile convulsions are the complex outcome of multiple factors, including known ion channel defects. Vitamin B may play a role in febrile convulsions and warrants further investigation.

摘要

热性惊厥(FS)是儿童期最常见的神经系统疾病之一,其发病机制可能受多种因素影响。随着科学研究的进展,B族维生素在神经系统中的重要作用已逐渐明晰。本研究选取临床诊断为FS的儿童作为实验组,选取无惊厥病史或癫痫家族史的发热儿童作为对照组,以探讨FS与全血B族维生素水平之间的潜在相关性。采用液相色谱 - 质谱法测定全血中B族维生素的浓度,并使用SPSS 25.0进行统计分析,随后进行显著性检验。实验组中维生素B1、B2、B5、B6、B7和B12的水平显著高于对照组,尤其是维生素B5和B7(P < 0.05)。此外,钠和钙离子水平之间也观察到统计学上的显著差异。这些结果表明,热性惊厥是多种因素的复杂结果,包括已知的离子通道缺陷。维生素B可能在热性惊厥中起作用,值得进一步研究。

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