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精神药物对癫痫患者癫痫控制的影响。

Effect of psychotropic medications on seizure control in patients with epilepsy.

作者信息

Ojemann L M, Baugh-Bookman C, Dudley D L

出版信息

Neurology. 1987 Sep;37(9):1525-7. doi: 10.1212/wnl.37.9.1525.

DOI:10.1212/wnl.37.9.1525
PMID:3627451
Abstract

Psychiatric problems are frequently encountered in patients with epilepsy. In an adult clinic population of 2,000 patients, 219 were identified as having been treated with psychotropic medication (PTM). Of these, 59 patients had adequate documentation of seizure frequency 2 months prior to and 2 months during treatment with PTMs. Contrary to many reports, most patients experienced better seizure control on PTM therapy. This demonstrates that most patients will not have an increased frequency of seizures when psychotropic medication is used in low to moderate doses and is introduced slowly.

摘要

癫痫患者经常会出现精神问题。在一个有2000名患者的成人门诊群体中,有219人被确定接受过精神药物治疗(PTM)。其中,59名患者有在接受精神药物治疗前2个月及治疗期间2个月的癫痫发作频率的充分记录。与许多报告相反,大多数患者在接受精神药物治疗时癫痫得到了更好的控制。这表明,当低至中等剂量使用精神药物并缓慢引入时,大多数患者的癫痫发作频率不会增加。

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1
Effect of psychotropic medications on seizure control in patients with epilepsy.精神药物对癫痫患者癫痫控制的影响。
Neurology. 1987 Sep;37(9):1525-7. doi: 10.1212/wnl.37.9.1525.
2
Psychotropic medication use in patients with epilepsy: effect on seizure frequency.癫痫患者使用精神药物:对癫痫发作频率的影响。
J Neuropsychiatry Clin Neurosci. 2000 Fall;12(4):458-64. doi: 10.1176/jnp.12.4.458.
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Pharmacodynamic and pharmacokinetic interactions of psychotropic drugs with antiepileptic drugs.精神药物与抗癫痫药物的药效学和药代动力学相互作用。
Int Rev Neurobiol. 2008;83:397-416. doi: 10.1016/S0074-7742(08)00022-6.
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Psychiatric comorbidity and use of psychotropic drugs in epilepsy patients.癫痫患者的精神共病及精神药物使用情况。
Acta Neurol Scand Suppl. 2010(190):18-22. doi: 10.1111/j.1600-0404.2010.01370.x.
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[Clinical features, diagnosis, and treatment of dysphoric states and psychoses associated with epilepsy].[与癫痫相关的烦躁状态和精神病的临床特征、诊断及治疗]
Nervenarzt. 2006 Nov;77(11):1381-91; quiz 1392. doi: 10.1007/s00115-006-2186-8.
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Epilepsy in children and adolescents.儿童和青少年癫痫
Child Adolesc Psychiatr Clin N Am. 1999 Oct;8(4):671-94.
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The Impact of Psychoactive Drugs on Seizures and Antiepileptic Drugs.精神活性药物对癫痫发作及抗癫痫药物的影响
Curr Neurol Neurosci Rep. 2016 Aug;16(8):71. doi: 10.1007/s11910-016-0670-5.
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Use of psychotropic drugs in patients with epilepsy: interactions and seizure risk.癫痫患者使用精神药物:相互作用与癫痫发作风险
Expert Rev Neurother. 2004 Nov;4(6):953-64. doi: 10.1586/14737175.4.6.953.
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[Practical findings in the treatment of mental disorders in epileptic patients].[癫痫患者精神障碍治疗的实践发现]
Cesk Psychiatr. 1983 Feb;79(1):33-8.
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Proceedings: Psychotropic drug treatment of the psychopathological symptomatology in epilepsy.会议论文:癫痫精神病理症状的精神药物治疗
Act Nerv Super (Praha). 1975;17(4):246-7.

引用本文的文献

1
Depression and anxiety in people with epilepsy.癫痫患者的抑郁和焦虑。
J Clin Neurol. 2014 Jul;10(3):175-88. doi: 10.3988/jcn.2014.10.3.175. Epub 2014 Jul 3.
2
Managing depressive disorders in patients with epilepsy.癫痫患者抑郁障碍的管理
Psychiatry (Edgmont). 2007 Jan;4(1):26-34.
3
Depressive symptoms in epilepsy: prevalence, impact, aetiology, biological correlates and effect of treatment with antiepileptic drugs.癫痫中的抑郁症状:患病率、影响、病因、生物学关联及抗癫痫药物治疗的效果
Drugs. 2008;68(11):1493-509. doi: 10.2165/00003495-200868110-00003.
4
Depression in Individuals with Epilepsy.癫痫患者的抑郁症
Curr Treat Options Neurol. 2000 Nov;2(6):571-585. doi: 10.1007/s11940-000-0035-9.