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本文引用的文献

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Treatment Outcomes in Patients With Newly Diagnosed Epilepsy Treated With Established and New Antiepileptic Drugs: A 30-Year Longitudinal Cohort Study.新诊断癫痫患者使用现有和新型抗癫痫药物治疗的治疗结局:一项长达 30 年的纵向队列研究。
JAMA Neurol. 2018 Mar 1;75(3):279-286. doi: 10.1001/jamaneurol.2017.3949.
2
ILAE official report: a practical clinical definition of epilepsy.ILAE 官方报告:癫痫的实用临床定义。
Epilepsia. 2014 Apr;55(4):475-82. doi: 10.1111/epi.12550. Epub 2014 Apr 14.
3
Glia and epilepsy: excitability and inflammation.胶质细胞与癫痫:兴奋性与炎症。
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Current position of phenobarbital in epilepsy and its future.苯巴比妥在癫痫中的现状及其未来。
Epilepsia. 2012 Dec;53 Suppl 8:40-6. doi: 10.1111/epi.12027.
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The pharmacological treatment of epilepsy in adults.成人癫痫的药物治疗。
Lancet Neurol. 2011 May;10(5):446-56. doi: 10.1016/S1474-4422(11)70047-3.
6
Estimating risk for developing epilepsy: a population-based study in Rochester, Minnesota.估算癫痫发病风险:明尼苏达州罗切斯特市的一项基于人群的研究。
Neurology. 2011 Jan 4;76(1):23-7. doi: 10.1212/WNL.0b013e318204a36a.
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Efficacy and tolerability of the new antiepileptic drugs I: treatment of new onset epilepsy [RETIRED]: report of the Therapeutics and Technology Assessment Subcommittee and Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society.新型抗癫痫药物的疗效与耐受性I:新诊断癫痫的治疗[已停用]:美国神经病学学会和美国癫痫协会治疗与技术评估小组委员会及质量标准小组委员会报告
Neurology. 2004 Apr 27;62(8):1252-60. doi: 10.1212/01.wnl.0000123693.82339.fc.
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Early identification of refractory epilepsy.难治性癫痫的早期识别。
N Engl J Med. 2000 Feb 3;342(5):314-9. doi: 10.1056/NEJM200002033420503.
9
Remission of epilepsy: results from the National General Practice Study of Epilepsy.癫痫缓解:来自全国癫痫全科医学研究的结果。
Lancet. 1995 Jul 15;346(8968):140-4. doi: 10.1016/s0140-6736(95)91208-8.
10
The epidemiology of epilepsy in Rochester, Minnesota, 1935 through 1967.明尼苏达州罗切斯特市1935年至1967年癫痫的流行病学情况。
Epilepsia. 1975 Mar;16(1):1-66. doi: 10.1111/j.1528-1157.1975.tb04721.x.

癫痫患者治疗结果的回顾性研究:癫痫发作控制与药物副作用

Retrospective Review of Treatment Outcomes in Epilepsy Patients: Seizure Control and Medication Side Effects.

作者信息

Naveen P, Sarala G, Chandra D Manoj, Dutta Riddhiman, Satodiya Vimal, Imran Rangraze, Pandey Pritee Rajkumar

机构信息

Department of Neurology, Meenakshi Medical College Hospital and Research Institute, Kanchipuram, Tamil Nadu, India.

Department of Neurosurgery, Yashoda Superspeciality Hospital, Secunderabad, Telangana, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2425-S2427. doi: 10.4103/jpbs.jpbs_246_24. Epub 2024 Jul 31.

DOI:10.4103/jpbs.jpbs_246_24
PMID:39346133
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11426786/
Abstract

BACKGROUND

Epilepsy management requires balancing seizure control with minimizing medication side effects. This retrospective review examines treatment outcomes in epilepsy patients, focusing on seizure control and medication-related adverse effects.

METHODS

Medical records of epilepsy subjects treated tertiary care center between 2017 and 2022 were retrospectively reviewed. Data on demographic characteristics, seizure control, medication regimen, and side effects were collected and analyzed.

RESULTS

A total of 200 subjects were included. Sixty percent of subjects achieved total seizure independence, 30% reduced seizure frequency, and 10% did not improve or deteriorate. The kind of antiepileptic medicine provided substantially affects prescription side effects ( < 0.05), with drug X causing more dizziness than drug Y ( = 0.02). Elderly individuals were more likely to suffer weariness than younger ones ( = 0.03).

CONCLUSION

This review provides valuable insights into epilepsy treatment outcomes, emphasizing the need for personalized management strategies to optimize seizure control while minimizing medication-related adverse effects.

摘要

背景

癫痫管理需要在控制癫痫发作与尽量减少药物副作用之间取得平衡。本回顾性研究探讨癫痫患者的治疗结果,重点关注癫痫发作控制和药物相关不良反应。

方法

回顾性分析2017年至2022年在三级护理中心接受治疗的癫痫患者的病历。收集并分析了人口统计学特征、癫痫发作控制、药物治疗方案和副作用的数据。

结果

共纳入200名受试者。60%的受试者实现了癫痫完全缓解,30%的受试者癫痫发作频率降低,10%的受试者病情未改善或恶化。所提供的抗癫痫药物种类对处方副作用有显著影响(<0.05),药物X比药物Y引起更多头晕(=0.02)。老年人比年轻人更容易出现疲劳(=0.03)。

结论

本综述为癫痫治疗结果提供了有价值的见解,强调需要个性化管理策略,以优化癫痫发作控制,同时尽量减少药物相关不良反应。