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发热惊厥患儿补充维生素B6的对照试验。

A controlled trial of pyridoxine supplementation in children with febrile convulsions.

作者信息

McKiernan J, Mellor D H, Court S

出版信息

Clin Pediatr (Phila). 1981 Mar;20(3):208-11. doi: 10.1177/000992288102000306.

DOI:10.1177/000992288102000306
PMID:7009019
Abstract

A total of 107 children who had been hospitalized following a febrile convulsion were enrolled into the trial. By random allocation, 55 children were treated with pyridoxine hydrochloride (20 mgs twice daily) and the remaining 52 children were treated with a placebo until there had been either a further convulsion or a year had passed without recurrence. Eighty children were adequately followed up and of these, 17 had a recurrent febrile convulsion while receiving medication. Recurrences occurrences occurred in 7 of the 38 children receiving pyridoxine and in 10 of the 42 children receiving placebo (X2 = .346, p greater than 0.5). Initial tryptophan load tests had been abnormal in 34 children, and of these, recurrences occurred in 3 of the 17 who received pyridoxine and in 3 of the 17 who received placebo. It has yet to be shown that pyridoxine supplementation protects children from recurrent febrile convulsions.

摘要

共有107名因热性惊厥住院的儿童被纳入该试验。通过随机分配,55名儿童接受盐酸吡哆醇治疗(每日两次,每次20毫克),其余52名儿童接受安慰剂治疗,直至再次出现惊厥或经过一年无复发。80名儿童得到了充分随访,其中17名在接受药物治疗时出现了复发性热性惊厥。接受吡哆醇治疗的38名儿童中有7名复发,接受安慰剂治疗的42名儿童中有10名复发(X2 = 0.346,p大于0.5)。34名儿童最初的色氨酸负荷试验异常,其中,接受吡哆醇治疗的17名儿童中有3名复发,接受安慰剂治疗的17名儿童中有3名复发。补充吡哆醇是否能保护儿童免受复发性热性惊厥的影响,目前尚未得到证实。

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