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卡马西平与癫痫患者的脑电图:一项与苯妥英钠对比的双盲研究。

Carbamazepine and the electroencephalogram of epileptics: a double blind study in comparison to phenytoin.

作者信息

Wilkus R J, Dodrill C B, Troupin A S

出版信息

Epilepsia. 1978 Jun;19(3):283-91. doi: 10.1111/j.1528-1157.1978.tb04491.x.

DOI:10.1111/j.1528-1157.1978.tb04491.x
PMID:354922
Abstract

In double blind crossover 4 month trials, carbamazepine was compared to phenytoin as sole treatment for 45 patients with uncontrolled partial and generalized epilepsy. EEGs performed at the end of these trials revealed that while using carbamazepine the patients manifested a significant overall increase in diffuse slow waves and an increase in generalized epileptiform discharges without significant accompanying changes in seizure incidence. Also, during the carbamazepine trial generalized epileptiform discharges activated by hyperventilation were more frequent in patients with a higher seizure incidence compared to subjects with a lower seizure incidence of patients taking phenytoin. No significant focal EEG changes occurred.

摘要

在为期4个月的双盲交叉试验中,对45例部分性和全身性癫痫控制不佳的患者,将卡马西平与苯妥英钠作为单一治疗药物进行了比较。这些试验结束时进行的脑电图检查显示,使用卡马西平期间,患者弥漫性慢波总体显著增加,全身性癫痫样放电增加,而癫痫发作发生率无显著伴随变化。此外,在卡马西平试验期间,与服用苯妥英钠且癫痫发作发生率较低的患者相比,癫痫发作发生率较高的患者因过度换气激活的全身性癫痫样放电更为频繁。未出现明显的局灶性脑电图变化。

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1
Carbamazepine and the electroencephalogram of epileptics: a double blind study in comparison to phenytoin.卡马西平与癫痫患者的脑电图:一项与苯妥英钠对比的双盲研究。
Epilepsia. 1978 Jun;19(3):283-91. doi: 10.1111/j.1528-1157.1978.tb04491.x.
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[Carbamazepine (Tegretol) or phenytoin in the treatment of focal motor epilepsy or generalized epilepsy? A controlled clinical trial].[卡马西平(得理多)或苯妥英治疗局灶性运动性癫痫或全身性癫痫?一项对照临床试验]
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引用本文的文献

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Carbamazepine versus phenytoin monotherapy for epilepsy: an individual participant data review.卡马西平与苯妥英钠单药治疗癫痫:个体参与者数据综述。
Cochrane Database Syst Rev. 2019 Jul 18;7(7):CD001911. doi: 10.1002/14651858.CD001911.pub4.
2
Carbamazepine versus phenytoin monotherapy for epilepsy: an individual participant data review.卡马西平与苯妥英钠单药治疗癫痫:个体参与者数据回顾
Cochrane Database Syst Rev. 2017 Feb 27;2(2):CD001911. doi: 10.1002/14651858.CD001911.pub3.
3
Estimating short-run and long-run interaction mechanisms in interictal state.
估计发作间期的短期和长期相互作用机制。
J Comput Neurosci. 2010 Apr;28(2):177-92. doi: 10.1007/s10827-009-0198-7. Epub 2009 Nov 10.
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An animal model to study the clinical significance of interictal spiking.一种用于研究发作间期棘波临床意义的动物模型。
Clin EEG Neurosci. 2009 Oct;40(4):234-8. doi: 10.1177/155005940904000405.
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Methods of assessment of antiepileptic drugs.抗癫痫药物的评估方法。
Br J Clin Pharmacol. 1981 May;11(5):443-56. doi: 10.1111/j.1365-2125.1981.tb01149.x.
6
Acute effects of intravenous phenytoin on the frequency of inter-ictal spikes in man.静脉注射苯妥英钠对人体发作间期棘波频率的急性影响。
Br J Clin Pharmacol. 1983 Sep;16(3):285-9. doi: 10.1111/j.1365-2125.1983.tb02163.x.
7
Drug treatment of epilepsy: a review.癫痫的药物治疗:综述
Can Med Assoc J. 1983 Feb 1;128(3):261-70.
8
Antiepileptic and antiamnesic effect of carbamazepine in experimental limbic epilepsy.卡马西平在实验性边缘叶癫痫中的抗癫痫和抗遗忘作用
J Neurol Neurosurg Psychiatry. 1985 May;48(5):459-68. doi: 10.1136/jnnp.48.5.459.