首页|期刊导航|世界睡眠医学杂志|左乙拉西坦对癫痫患儿脑电图及睡眠质量的影响

左乙拉西坦对癫痫患儿脑电图及睡眠质量的影响OA

Effect of Levetiracetam on Electroencephalogram and Sleep Quality in Children with Epilepsy

中文摘要英文摘要

目的:观察左乙拉西坦对癫痫患儿脑电图及睡眠质量的影响.方法:选取2023年7月至2025年7月福建省龙岩市第二医院神经内科收治的癫痫患儿30例作为研究对象,采用掷硬币法随机分为对照组(给予丙戊酸钠治疗)和观察组(给予丙戊酸钠+左乙拉西坦治疗),每组15例.比较2组患儿治疗前后脑电图指标、睡眠质量变化及不良反应.结果:治疗后,2组α波段、β波段均升高(P<0.05),且观察组高于对照组(P<0.05),2组δ波段、θ波段均下降(P<0.05),且观察组低于对照组(P<0.05).治疗后,2组患儿匹兹堡睡眠质量指数(PSQI)评分均下降(P<0.05),且观察组较对照组更低(P<0.05).2组不良反应总发生率比较差异无统计学意义(P>0.05).结论:在丙戊酸钠治疗基础上应用左乙拉西坦,能有效改善癫痫患儿脑电图及睡眠质量,且未致不良反应发生率显著提升,安全性高.

Objective:To observe the effect of levetiracetam on electroencephalogram(EEG)and sleep quality in children with epilepsy.Methods:A total of 30 children with epilepsy admitted to the Department of Neurology,The Second Hospital of Longyan from July 2023 to July 2025 were selected and randomly divided into a control group and an observation group using the coin-toss-ing method,with 15 cases in each group.The control group received sodium valproate,while the observation group received sodium valproate combined with levetiracetam.The adverse reactions,EEG parameters and sleep quality were compared between the two groups.Results:After treatment,α and β wave bands increased in both groups(P<0.05),and were higher in the observation group than in the control group(P<0.05).δ and θ wave bands decreased in both groups(P<0.05),and were lower in the ob-servation group than in the control group(P<0.05).The Pittsburgh Sleep Quality Index(PSQI)scores decreased in both groups after treatment(P<0.05),and were lower in the observation group than in the control group(P<0.05).There was no statistical-ly significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:On the basis of sodium valproate treatment,the addition of levetiracetam can effectively improve EEG parameters and sleep quality in children with epilepsy without significantly increasing adverse reactions,demonstrating good safety.

黄志珍;戴梦园

福建省龙岩市第二医院神经内科,龙岩,364000福建省龙岩市第二医院神经内科,龙岩,364000

医药卫生

癫痫儿童脑电描记术左乙拉西坦睡眠质量

EpilepsyChildrenElectroencephalographyLevetiracetamSleep quality

《世界睡眠医学杂志》 2026 (1)

5-7,3

10.3969/j.issn.2095-7130.2026.01.002

评论