Relationship between serum Ca2+ level and nerve injury as well as myocardial injury in children with febrile convulsion

摘要

Objective:To study the relationship between serum Ca2+ level and nerve injury as well as myocardial injury in children with febrile convulsion.Methods: A total of 32 children with febrile convulsion treated in our hospital between May 2011 and September 2015 were selected as observation group and 30 healthy children receiving vaccination in our hospital during the same period were selected as normal control group. Blood calcium levels of two groups of children were detected, and the median blood calcium level was referred to further divide the observation group into high blood Ca2+ group (n=16) and low blood Ca2+ group (n=16). The differences in nerve injury and myocardial injury were compared between children with blood calcium levels within observation group.Results: Serum Ca2+ level of observation group was lower than that of normal control group;excitatory amino acids Glu, Asp, Lys and Ser contents in peripheral blood of low blood Ca2+ group were higher than those of high blood Ca2+ group while inhibitory amino acids Gly and GABA contents were lower than those of high blood Ca2+ group;cardiac function parameters SV, CI and Vpk levels of low blood Ca2+ group were lower than those of high blood Ca2+ group while SVR level was higher than that of high blood Ca2+ group;myocardial enzyme spectrum indexes CK-MB, LDH andα-HBDH contents in peripheral blood of low blood Ca2+ group were higher than those of high blood Ca2+ group.Conclusion: Serum Ca2+ level is low in children with febrile convulsion and Ca2+ level is negatively correlated with nerve injury and myocardial injury.