Posner Ewa
University Hospital of North Durham, Durham, UK.
BMJ Clin Evid. 2013 Dec 18;2013:0317.
INTRODUCTION: About 10% of seizures in children with epilepsy are typical absence seizures. Absence seizures have a significant impact on quality of life. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following clinical question: What are the effects of treatments for typical absence seizures in children? We searched: Medline, Embase, The Cochrane Library, and other important databases up to July 2013 (Clinical Evidence reviews are updated periodically; please check our website for the most up to date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA), the European Medicines Agency (EMA), and the UK Medicines and Healthcare products Regulatory Agency (MHRA). RESULTS: We found 18 RCTs or systematic reviews of RCTs that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions. CONCLUSIONS: In this systematic review we present information relating to the effectiveness and safety of the following interventions: clonazepam, ethosuximide, gabapentin, lamotrigine, and valproate.
引言:癫痫患儿中约10%的癫痫发作属于典型失神发作。失神发作对生活质量有重大影响。 方法与结果:我们进行了一项系统评价,旨在回答以下临床问题:儿童典型失神发作的治疗效果如何?我们检索了:截至2013年7月的Medline、Embase、Cochrane图书馆及其他重要数据库(Clinical Evidence综述会定期更新;请查看我们的网站获取本综述的最新版本)。我们纳入了来自美国食品药品监督管理局(FDA)、欧洲药品管理局(EMA)及英国药品和医疗产品监管局(MHRA)等相关组织的危害警示。 结果:我们发现18项随机对照试验(RCT)或RCT的系统评价符合我们的纳入标准。我们对干预措施的证据质量进行了GRADE评估。 结论:在本系统评价中,我们提供了以下干预措施的有效性和安全性相关信息:氯硝西泮、乙琥胺、加巴喷丁、拉莫三嗪和丙戊酸盐。
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