癫痫患者何时需要治疗？药物的起始与停用。
When do epileptic patients need treatment? Starting and stopping medication.
作者信息
Chadwick D, Reynolds E H
出版信息
Br Med J (Clin Res Ed). 1985 Jun 22;290(6485):1885-8. doi: 10.1136/bmj.290.6485.1885.
Abstract
Decisions about when to start and stop antiepileptic treatment have important implications for patients with epilepsy. Clinical practice varies and is determined more by dogmatic teaching than by knowledge of either the clinical course of epilepsy or the influence of the drugs. A review of the available evidence shows the need for further studies on the effects of starting and withdrawing treatment on the clinical course and prognosis of epilepsy.
摘要
关于何时开始及停止抗癫痫治疗的决策对癫痫患者具有重要意义。临床实践各不相同，更多地由教条式教学而非对癫痫临床病程或药物影响的了解所决定。对现有证据的综述表明，需要进一步研究开始和停止治疗对癫痫临床病程及预后的影响。
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本文引用的文献
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FREQUENCY OF RECURRENCE AFTER DISCONTINUANCE OF ANTI-CONVULSANT THERAPY IN PATIENTS WITH EPILEPTIC SEIZURES.癫痫发作患者停用抗惊厥治疗后的复发频率
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Prognosis in childhood epilepsy: additional follow-up of 148 children 15 to 23 years after withdrawal of anticonvulsant therapy.儿童癫痫的预后：抗惊厥治疗停药15至23年后对148名儿童的额外随访
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