临床荟萃

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奥卡西平治疗婴幼儿部分性癫痫的疗效及对免疫功能的影响分析

  

  1. 嘉峪关市第一人民医院 a.药剂科;b.儿科,甘肃 嘉峪关 735100
  • 出版日期:2017-10-05 发布日期:2017-10-10
  • 通讯作者: 通信作者:董莉,Email:918594044@qq.com

Curative effect of oxcarbazepine on infants with partial epilepsy and immune function

  1. a.Department of Pharmacy; b.Department of Pediatrics,  the First People's Hospital
    of Jiayuguan,  Jiayuguan 735100,  China
  • Online:2017-10-05 Published:2017-10-10
  • Contact: Corresponding auther: Dong Li,Email:918594044@qq.com

摘要: 目的 分析奥卡西平混悬液治疗3岁以下婴幼儿(≤3岁)部分性癫痫的疗效及对免疫功能的影响。方法 选择2012年5月至2016年1月接受治疗的部分性发作癫痫婴幼儿(≤3岁)138例,给予奥卡西平混悬液口服治疗,初始用量8~10 mg/(kg·d),每7天增加10  mg/(kg·d),直到最小有效药物用量;一般稳定维持药物用量在20~40 mg/(kg·d);分析药物有效率及完全控制情况、不良反应发生情况;在治疗前,治疗后第3、6个月清晨空腹状态下抽取患儿血液检测免疫球蛋白以及免疫功能因子;选择同期接受健康体检的3岁以下儿童作为对照组。结果  患儿服药后1~3月、4~6月、7~9月完全控制率为41.48%、44.44%、54.07%,总有效率为80.74%、83.70%、85.93%; 25例出现不良反应,发生率18.52%;观察组治疗前IgA、IgG、ICAM1、CD3+、CD4+及CD8+与对照组比较差异有统计学意义(P<0.05);与治疗前比较,观察组治疗3、6个月IgA、IgG、ICAM1、CD3+、CD4+、CD8+差异有统计学意义(P<0.05)。结论 婴幼儿部分性癫痫使用奥卡西平混悬液治疗,临床效果良好,不仅能够有效减少癫痫发作频次,还能促使其免疫状态趋于正常,而且不良反应较少,患儿治疗依从性较好。

关键词: 癫痫, 儿童, 奥卡西平

Abstract: Objective  To analyze the curative effect of oxcarbazepine suspension in treatment of infants (≤3 years old) with partial epilepsy and effect on immune function. Methods  One hundred and thirtyeight infants (≤ 3 years old) with partial epilepsy who received oxcarbazepine oral suspension treatment from May 2012 to January 2016 were chosen as observation group. The initial dosage was 8-10 mg/ (kg·d), increased by 10 mg/(kg·d) every 7 days, the stable maintenance dose was 20-40 mg/(kg·d). Drug efficiency, complete control and adverse reactions were analyzed. Blood samples were taken from children before treatment and the third and sixth months after treatment. The children under 3 years old were selected as control group during the same period. Results  The complete control rate in the 13 months,4-6 months and 7-9 months after medication of the observation group was 41.48%, 44.44%  and 54.07%  and the total effective rate was 80.74%, 83.70% and 85.93%, respectively. Adverse reactions occurred in 25 cases with a rate of  18.52%. Before treatment, IgA, IgG, ICAM1, CD3+, CD4+ and CD8+ in  observation group were significantly different from those in  control group (P<0.05), at 3,6 months after treatment, IgA, IgG, ICAM1,CD4+,CD8+ and CD3+ were significantly different from those before treatment (P<0.05). Conclusion  Oxcarbazepine oral suspension has good clinical effect in infants with partial epilepsy, not only can effectively reduce the frequency of seizures, but also can promote the normal immune state, and has less adverse reactions. The treatment compliance of children is better.

Key words: epilepsy, child, oxcarbazepine