The Effect of Probiotics on Headaches in Children with Migraine Treated with Sodium Valproate: A Randomized Controlled Clinical Trial.

IF 0.8 Q4 CLINICAL NEUROLOGY Iranian Journal of Child Neurology Pub Date : 2023-01-01 DOI:10.22037/ijcn.v17i2.40369
Elham Bidabadi, Mitra Elyasi, Afagh Hassanzadeh Rad, Ehsan Kazemnezhad
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Abstract

Objective: Migraine is one of the most common complaints in children. This study aimed to determine the effect of probiotics (KidiLact) on headaches in children aged six to 15 years with migraine treated with sodium valproate.

Materials & methods: This double-blind, randomized controlled clinical trial was performed on eighty children with migraine treated with sodium valproate. Patients were divided into two groups. All patients in the intervention and control groups received two sachets of probiotics and a placebo daily for four months, respectively. They were compared in terms of frequency and severity of headaches and painkiller consumption before and two and four months after initiating probiotics.

Results: The mean number of headaches in the second and third visits in the probiotic group was 1.27 and 1.18, and 2 and 1.50 per month in the placebo group, respectively. The authors observed a significant difference between the two groups in the second (P = 0.010) and the third visit (P = 0.019). Moreover, the mean severity of headache in the second and third visits in the probiotic group was 1.38 and 1.23, and 1.60 and 1.53 in the placebo group, respectively. The authors demonstrated that the daily consumption of painkillers in the probiotic group was significantly reduced compared to the placebo group (P = 0.007).

Conclusion: Using probiotic supplements seems to significantly affect the severity and frequency of migraine headaches compared to the placebo, and daily consumption of painkillers was significantly reduced in the probiotic group compared to the placebo group.

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丙戊酸钠治疗儿童偏头痛的益生菌疗效:一项随机对照临床试验。
目的:偏头痛是儿童最常见的主诉之一。本研究旨在确定益生菌(KidiLact)对6至15岁儿童偏头痛丙戊酸钠治疗头痛的影响。材料与方法:本双盲、随机对照临床试验对80例偏头痛患儿进行丙戊酸钠治疗。患者分为两组。干预组和对照组的所有患者在四个月内每天分别服用两袋益生菌和一袋安慰剂。研究人员比较了他们在服用益生菌前、服用益生菌后两个月和四个月头痛和止痛药的频率和严重程度。结果:益生菌组第二次和第三次就诊时头痛的平均次数分别为每月1.27次和1.18次,安慰剂组为每月2次和1.50次。作者观察到两组在第二次访问(P = 0.010)和第三次访问(P = 0.019)时存在显著差异。此外,在第二次和第三次访问中,益生菌组的平均头痛严重程度分别为1.38和1.23,安慰剂组的平均头痛严重程度分别为1.60和1.53。作者证明,与安慰剂组相比,益生菌组的每日止痛药消费量显着减少(P = 0.007)。结论:与安慰剂组相比,使用益生菌补充剂似乎显著影响了偏头痛的严重程度和频率,并且与安慰剂组相比,益生菌组的每日止痛药消费量显着减少。
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