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目的:探讨血镁与外伤性癫痫发作之间的关系。方法:总结我科所收治的重型颅脑外伤病人,按是否合并继发性癫痫分成两组,分别观察血清镁浓度,作统计学分析。结果:观察组共28例。平均血清镁浓度0.79±0.10mmol/L;对照组共30例,平均血清镁浓度0.87±0.09mmol/L,观察组血清镁浓度低于对照组,差异有显著意义(P<0.01)。结论:继发性癫痫发作可能与低血镁浓度有一定关系,在危重病人特别是重型颅脑外伤病人的救治过程中,应注意防止镁缺乏,这对预防和控制继发性癫痫发作可能有意义。
Objective: To explore the relationship between serum magnesium and traumatic seizures. Methods: To summarize the patients with severe traumatic brain injury in our department, divided into two groups according to whether they were complicated by epilepsy or not, and the levels of serum magnesium were observed respectively for statistical analysis. Results: The observation group of 28 cases. The average serum magnesium concentration was 0.79 ± 0.10mmol / L. The control group had a total of 30 patients with an average serum magnesium concentration of 0.87 ± 0.09mmol / L. The serum magnesium concentration in the observation group was lower than that in the control group (P <0.01). Conclusion: Secondary seizures may have a certain relationship with hypomagnesemia. During the treatment of critically ill patients, especially severe traumatic brain injury, magnesium deficiency should be prevented. This may have the potential to prevent and control secondary seizures significance.