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[《2005年安达卢西亚癫痫协会癫痫治疗指南:IV. 抗癫痫联合治疗的一般原则及难治性癫痫的治疗策略》]

[The Andalusia Epilepsy Society's Guide to Epilepsy Therapy 2005: IV. General principles of antiepileptic polytherapy and therapeutic strategies in refractory epilepsy].

作者信息

Sánchez-Alvarez J C, Altuzarra-Corral A, Mercadé-Cerdá J M, Casado-Chocán J L, Moreno-Alegre V, Rufo-Campos M, Camino-León R, Galán-Barranco J M, Pita-Calandre E, Ramos-Lizana J, Serrano-Castro P J

机构信息

Servicio de Neurología, Hospital Universitario Virgen de las Nieves, 18013 Granada, España.

出版信息

Rev Neurol. 2005;40(12):743-50.

PMID:15973642
Abstract

AIMS

The objective of this work was to produce a scientific evidence-based guide to clinical practice dealing with the basic questions concerning the treatment of epilepsy.

DEVELOPMENT

A committee of 11 experts belonging to the Andalusia Epilepsy Society, made up of six neurologists, three neuropaediatricians, one neurosurgeon and a pharmacologist, all of whom were deeply involved and experienced in epilepsy, conducted a thorough review of the literature in search of all the evidence available on the proposed subject matter. The following databases were used: MEDLINE, Cochrane Library and the databases of several clinical practice guidelines (National Guideline Clearinghouse, National Institute of Clinical Excellence and the American Academy of Neurology's Clinical Guidelines). The Guide was set out in seven sections and was published in four parts. From a total number of 187 relevant documents, the committee found 63 examples of scientific evidence and 91 therapeutic recommendations. These were tabulated and classified according to the European Federation of Neurological Societies' criteria for producing Clinical Practice Guidelines.

CONCLUSIONS

The results of this survey provide scientific evidence-based clinical guidelines that are useful, simple and applicable at different levels of health care.

摘要

目的

本研究旨在制定一份基于科学证据的临床实践指南,以应对癫痫治疗的基本问题。

制定过程

由安达卢西亚癫痫协会的11名专家组成的委员会开展此项工作,该委员会由6名神经科医生、3名神经儿科医生、1名神经外科医生和1名药理学家组成,他们均在癫痫领域有深入参与且经验丰富。委员会对文献进行了全面审查,以查找关于该主题的所有现有证据。使用了以下数据库:MEDLINE、Cochrane图书馆以及若干临床实践指南的数据库(国家指南资料库、国家临床优化研究所和美国神经病学学会临床指南)。该指南分为七个部分,分四部分出版。在总共187份相关文献中,委员会找到了63个科学证据实例和91条治疗建议。这些内容根据欧洲神经科学会联合会制定临床实践指南的标准进行列表和分类。

结论

本次调查结果提供了基于科学证据的临床指南,这些指南实用、简单且适用于不同层次的医疗保健。

相似文献

1
[The Andalusia Epilepsy Society's Guide to Epilepsy Therapy 2005: IV. General principles of antiepileptic polytherapy and therapeutic strategies in refractory epilepsy].[《2005年安达卢西亚癫痫协会癫痫治疗指南:IV. 抗癫痫联合治疗的一般原则及难治性癫痫的治疗策略》]
Rev Neurol. 2005;40(12):743-50.
2
[The Andalusia Epilepsy Society's Guide to Epilepsy Therapy 2005: I. Criteria for starting and discontinuing and the pharmacological bases of antiepileptic treatment].[《2005年安达卢西亚癫痫协会癫痫治疗指南:I. 开始和停止治疗的标准以及抗癫痫治疗的药理学基础》]
Rev Neurol. 2005;40(9):563-71.
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[The Andalusia Epilepsy Society's Guide to Epilepsy Therapy 2005: II. Chronic therapy with antiepileptic drugs in adults and in children].[《安达卢西亚癫痫协会2005年癫痫治疗指南:二、成人及儿童抗癫痫药物的长期治疗》]
Rev Neurol. 2005;40(10):619-25.
4
[The Andalusia Epilepsy Society's Guide to Epilepsy Therapy 2005: III. Antiepileptic therapy in special situations].
Rev Neurol. 2005;40(11):683-95.
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[Report on the surgery for epilepsy].
Rev Neurol. 1999;29(7):680-92.
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[Consensus clinical practice guidelines of the Sociedad Andaluza de Epilepsia for the diagnosis and treatment of patients with their first epileptic seizure in emergencies].[安达卢西亚癫痫协会关于急诊首次癫痫发作患者诊断和治疗的临床实践共识指南]
Rev Neurol. 2009;48(1):39-50.
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Update on treatment of epilepsy in people with intellectual disabilities.智力残疾患者癫痫治疗的最新进展。
Curr Opin Psychiatry. 2006 Sep;19(5):492-6. doi: 10.1097/01.yco.0000238476.14702.5f.
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Procedures and methods of benefit assessments for medicines in Germany.德国药品效益评估的程序和方法。
Eur J Health Econ. 2008 Nov;9 Suppl 1:5-29. doi: 10.1007/s10198-008-0122-5.
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Practice parameter: diagnostic assessment of the child with status epilepticus (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society.实践参数:癫痫持续状态患儿的诊断评估(循证综述):美国神经病学学会质量标准小组委员会及儿童神经病学学会实践委员会报告
Neurology. 2006 Nov 14;67(9):1542-50. doi: 10.1212/01.wnl.0000243197.05519.3d.
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[Procedures and methods of benefit assessments for medicines in Germany].[德国药品效益评估的程序和方法]
Dtsch Med Wochenschr. 2008 Dec;133 Suppl 7:S225-46. doi: 10.1055/s-0028-1100954. Epub 2008 Nov 25.

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