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丙戊酸钠(癫健安)治疗癫痫:一项试验。

Sodium valproate (Epilim) in epilepsy: a trial.

作者信息

Briant R H, Foote S E, Wallis W E

出版信息

N Z Med J. 1978 Dec 27;88(626):479-82.

PMID:105332
Abstract

Of thirty-five patients with various types of epilepsy treated with sodium valproate, 15 achieved complete seizure control on that drug alone, 12 other patients benefited and eight failed to improve on the drug. Excellent results were more likely in those with petit mal epilepsy and in those whose epilepsy was controlled with other drugs at the expense of side effects. Three patients were unable to tolerate valproate, but in general few patients experienced side effects and several patients felt much better on valproate than on their previous drugs. A twice daily dosage regime was satisfactory. Plasma valproate levels at the final dose covered a wide range, 0.21 - 1.2mmol/l (34 to 190 microgram/ml) and did not correlate with response, lack of response or side effects.

摘要

在35例接受丙戊酸钠治疗的各类癫痫患者中,15例仅使用该药就实现了癫痫发作完全控制,另有12例患者病情好转,8例患者用药后未见改善。癫痫小发作患者以及那些因其他药物副作用而控制癫痫发作的患者更有可能获得良好疗效。3例患者无法耐受丙戊酸钠,但总体而言,很少有患者出现副作用,且有几名患者感觉服用丙戊酸钠比之前的药物效果好得多。每日两次的给药方案效果令人满意。末次给药时的血浆丙戊酸水平范围很广,为0.21 - 1.2mmol/l(34至190微克/毫升),且与疗效、无反应或副作用无关。

相似文献

1
Sodium valproate (Epilim) in epilepsy: a trial.丙戊酸钠(癫健安)治疗癫痫:一项试验。
N Z Med J. 1978 Dec 27;88(626):479-82.
2
Sodium valproate in the management of intractable epilepsy: comparison with clonazepam.丙戊酸钠治疗难治性癫痫:与氯硝西泮的比较。
Proc Aust Assoc Neurol. 1975;12:55-60.
3
Clinical experience with sodium valproate in children.丙戊酸钠在儿童中的临床应用经验。
S Afr Med J. 1980 May 24;57(21):866-7.
4
A comparison of valproate with carbamazepine for the treatment of complex partial seizures and secondarily generalized tonic-clonic seizures in adults. The Department of Veterans Affairs Epilepsy Cooperative Study No. 264 Group.丙戊酸盐与卡马西平治疗成人复杂部分性发作及继发全身性强直阵挛性发作的比较。退伍军人事务部癫痫合作研究第264组。
N Engl J Med. 1992 Sep 10;327(11):765-71. doi: 10.1056/NEJM199209103271104.
5
Valproate sodium in epilepsy. A clinical trial including monitoring of drug levels.
J Assoc Physicians India. 1990 Apr;38(4):277-9.
6
[Valproic acid -- clinical efficiency and serum concentration in the treatment of petit mal epilepsy in childhood (author's transl)].丙戊酸——儿童失神癫痫治疗中的临床疗效与血清浓度(作者译)
Padiatr Padol. 1981;16(4):481-8.
7
Valproic acid in childhood epilepsy: anticonvulsive efficacy in relation to its plasma levels.
Int J Clin Pharmacol Ther Toxicol. 1980 Oct;18(10):461-5.
8
Sodium valproate (Epilim) in the treatment of refractory epilepsy.
N Z Med J. 1978 Jan 11;87(603):9-12.
9
[The treatment of primary generalized epilepsies with dipropyl acetate (DPA)].用双丙戊酸(DPA)治疗原发性全身性癫痫
Fortschr Med. 1977 Apr 7;95(13):892-6.
10
Efficacy and tolerability of zonisamide in juvenile myoclonic epilepsy.唑尼沙胺治疗青少年肌阵挛性癫痫的疗效和耐受性
Epileptic Disord. 2004 Dec;6(4):267-70.

引用本文的文献

1
Electroencephalographic and behavioural effects of sodium valproate in patients with photosensitive epilepsy. A single dose trial.丙戊酸钠对光敏性癫痫患者的脑电图及行为影响。单剂量试验。
J Neurol. 1980;224(2):111-23. doi: 10.1007/BF00313349.
2
Distribution of sodium valproate in normal whole blood and in blood from patients with renal or hepatic disease.
Eur J Clin Pharmacol. 1985;28(4):447-52. doi: 10.1007/BF00544365.