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Research Progress of Chinese and Western medicine in children with febrile seizures ( 156 cases , medical records analysis)

Author: ZhouQingZuo
Tutor: ZhouZhongShu
School: Beijing University of Traditional Chinese Medicine
Course: Traditional Chinese Medicine
Keywords: Febrile seizures A case of emergency Etiology and Pathogenesis of Chinese and Western medicine Relapse Prognosis
CLC: R720.597
Type: Master's thesis
Year: 2011
Downloads: 97
Quote: 0
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Abstract


Febrile seizures is a common pediatric seizures, the exact pathogenesis is unclear, genetic predisposition has been confirmed in clinical acute upper respiratory tract infection as the main precipitating factor. The majority of children with febrile seizures prognosis is good, also found that as the research progress seizures recurrent or long duration can lead to reduced intelligence in children, rather then the secondary epilepsy. Febrile seizures adverse impact on the lives of children and their parents, psychological. So clinical febrile convulsion therapy proper universal the febrile seizures precautions, and strengthening family health education is important febrile seizures, commonly known as ventilation, is a Chinese medicine \now be summarized as four cards of sputum, fever, scared, wind. Treatment in order to heat, Phlegm, Anticonvulsant, xifeng, as a basic rule. Chinese often to acupuncture, massage and Chinese medicine Sambo and other proprietary oral treatment and prevention of the onset and recurrence of a case of emergency. For many Chinese medicine treatment of a case of emergency, reports the modern clinical achieved considerable efficacy with western medicine. And Chinese traditional medicines in a case of emergency prevention prominent efficacy, side effects. Parents of children with acute case of emergency during the onset of clinical application of traditional Chinese medicine treatment was significantly less than Western medicine treatment of this paper elaborate the etiology of febrile seizures, especially molecular genetic, febrile seizures chromosome found gene 8q13-q21, 19p13.3, 2q23-q24, 5q14-q15, 6q22-q24, 18p11.2 and 15q21.4-q23. Portion of the incidence of febrile convulsions and ion channel gene mutation (voltage control the sodium ion, the potassium ion channel gene mutation), neurotransmitters (derived from the medium of the amino acids, peptides, medium, etc.), abnormal immune mechanisms (humoral and cellular immune low, etc.), viral infections, and so on. Portion of children with febrile seizures incidence existed before the perinatal period and abnormal brain development. Children with febrile seizures in the clinical manifestations, the majority was generalized tonic - clonic seizures, and the few visible convulsive status limb movement disorder atypical performance. Children with febrile seizures recurrence rate was high, but the majority of children 6-7 years old no longer attack. The majority of children with febrile seizures a good prognosis, clinical information febrile convulsions and epilepsy and partial epilepsy syndrome (generalized epilepsy with febrile seizures plus syndrome, Dravet syndrome) are closely related, and found a common gene mutation in this article in the details of its recurrence and risk factors of the development of epilepsy. Animal experiments and clinical information: multiple episodes of febrile seizures, long-range febrile seizures can cause brain damage, Zhiyuan of mental decline. Therefore timely rescue seizures actively looking for risk factors induced febrile seizures and to explore its possible pathogenesis, it is reasonable to deal with and prevent the recurrence of febrile seizures. Clinical, febrile seizures etiology and pathogenesis still needs further discussion and research, found the gene mutation is only found in the part of the family, still need a large sample. Chinese medicine treatment and prevention of acute convulsion clinical data has increased year by year, but generally small sample size, and the side effects of Chinese medicine application process to be further in-depth study. For seizures Zhijing treatment of choice for stability and the promotion of long-range continuous medication treatment for risk factors, frequent episodes of children, but the obvious clinical side effects of western medicine. Clinical Western medicine, Chinese medicine combined treatment of febrile seizures have good prospects, should be further promoted and developed, especially for high-risk children, this new direction for future clinical studies.

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CLC: > Medicine, health > Pediatrics > Pediatric Therapy > Pediatric Emergency and processing
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