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每日一次服用氨己烯酸治疗耐药性部分性癫痫的长期评估。

Long-term evaluation of once daily vigabatrin in drug-resistant partial epilepsy.

作者信息

Ben-Menachem E, Persson L, Mumford J

机构信息

Department of Neurology, University of Göteborg, Sahlgren Hospital, Sweden.

出版信息

Epilepsy Res. 1990 Apr;5(3):240-6. doi: 10.1016/0920-1211(90)90045-w.

DOI:10.1016/0920-1211(90)90045-w
PMID:2116964
Abstract

The purpose of this study was to evaluate on an open basis the long-term efficacy and safety of vigabatrin in drug-resistant partial epilepsy as add-on therapy, administered on a once daily basis. Thirty-five patients entered the study. Twenty patients (57%) responded to therapy and are still on drug. This efficacy is in agreement with that seen in double-blind controlled studies on twice daily dose schedules. There did not appear to be any loss of efficacy with continued treatment at this dose regimen in patients responding favourably to the drug. The once daily dosing schedule was well tolerated and side effects were usually mild and always reversible. Vigabatrin seems to be a valuable therapeutic addition for patients with partial seizures resistant to standard anti-epileptic drugs.

摘要

本研究的目的是在开放基础上评估氨己烯酸作为附加疗法每日一次给药用于耐药性部分性癫痫的长期疗效和安全性。35名患者进入该研究。20名患者(57%)对治疗有反应且仍在服药。该疗效与每日两次给药方案的双盲对照研究中所见的疗效一致。在对该药反应良好的患者中,以该剂量方案持续治疗未出现疗效丧失的情况。每日一次给药方案耐受性良好,副作用通常较轻且总是可逆的。对于对标准抗癫痫药物耐药的部分性癫痫发作患者,氨己烯酸似乎是一种有价值的治疗补充药物。

相似文献

1
Long-term evaluation of once daily vigabatrin in drug-resistant partial epilepsy.每日一次服用氨己烯酸治疗耐药性部分性癫痫的长期评估。
Epilepsy Res. 1990 Apr;5(3):240-6. doi: 10.1016/0920-1211(90)90045-w.
2
Vigabatrin in drug-resistant partial epilepsy: a 5-year follow-up study.氨己烯酸治疗耐药性部分性癫痫:一项5年随访研究。
Neurology. 1991 Apr;41(4):562-5. doi: 10.1212/wnl.41.4.562.
3
Six-year follow-up study on the efficacy and safety of vigabatrin in patients with epilepsy.
Acta Neurol Scand. 1992 Sep;86(3):247-51. doi: 10.1111/j.1600-0404.1992.tb05079.x.
4
Single-blind, placebo-controlled multicenter trial of vigabatrin in the treatment of epilepsy. The Italian Study Group on Vigabatrin.氨己烯酸治疗癫痫的单盲、安慰剂对照多中心试验。意大利氨己烯酸研究组。
Ital J Neurol Sci. 1992 Dec;13(9):741-7. doi: 10.1007/BF02229159.
5
Vigabatrin in complex partial seizures: a long-term study.
Epilepsy Res. 1989 Mar-Apr;3(2):160-6. doi: 10.1016/0920-1211(89)90044-2.
6
Vigabatrin in intractable childhood epilepsy: a retrospective study.氨己烯酸治疗儿童难治性癫痫:一项回顾性研究。
Pediatr Neurol. 1992 Sep-Oct;8(5):338-40. doi: 10.1016/0887-8994(92)90086-e.
7
Vigabatrin in chronic epilepsy: a 7-year follow-up study of responder patients.
Seizure. 1993 Dec;2(4):301-7. doi: 10.1016/s1059-1311(05)80145-1.
8
Adjuvant vigabatrin in refractory epilepsy: a ceiling to effective dosage in individual patients?难治性癫痫的辅助性氨己烯酸治疗:个体患者有效剂量是否存在上限?
Epilepsia. 1993 Sep-Oct;34(5):937-43. doi: 10.1111/j.1528-1157.1993.tb02115.x.
9
Double-blind study of vigabatrin in the treatment of drug-resistant epilepsy.
Arch Neurol. 1987 Sep;44(9):907-10. doi: 10.1001/archneur.1987.00520210009010.
10
Vigabatrin in the treatment of childhood epilepsies: a single-blind placebo-controlled study.氨己烯酸治疗儿童癫痫:一项单盲安慰剂对照研究。
Epilepsia. 1989 Jul-Aug;30(4):430-7. doi: 10.1111/j.1528-1157.1989.tb05322.x.

引用本文的文献

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Treating epilepsy in the elderly: safety considerations.老年癫痫的治疗:安全性考量
Drug Saf. 2001;24(13):991-1015. doi: 10.2165/00002018-200124130-00006.
2
Effects of vigabatrin on partial seizures and cognitive function.氨己烯酸对部分性癫痫发作及认知功能的影响。
J Neurol Neurosurg Psychiatry. 1994 Sep;57(9):1057-63. doi: 10.1136/jnnp.57.9.1057.
3
Vigabatrin treatment in children.儿童的氨己烯酸治疗
Childs Nerv Syst. 1994 May;10(4):244-8. doi: 10.1007/BF00301162.
4
Newer antiepileptic drugs. Towards an improved risk-benefit ratio.新型抗癫痫药物。旨在改善风险效益比。
Drug Saf. 1994 Jul;11(1):37-67. doi: 10.2165/00002018-199411010-00005.
5
Vigabatrin and psychosis.氨己烯酸与精神病
J Neurol Neurosurg Psychiatry. 1991 May;54(5):435-9. doi: 10.1136/jnnp.54.5.435.