Suppr超能文献

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.

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。

相似文献

2
Transcranial magnetic stimulation for the treatment of epilepsy.经颅磁刺激治疗癫痫。
Cochrane Database Syst Rev. 2021 Apr 15;4(4):CD011025. doi: 10.1002/14651858.CD011025.pub3.
3
Transcranial magnetic stimulation for the treatment of epilepsy.经颅磁刺激治疗癫痫
Cochrane Database Syst Rev. 2016 Aug 11(8):CD011025. doi: 10.1002/14651858.CD011025.pub2.
4
Pregabalin add-on for drug-resistant focal epilepsy.普瑞巴林添加治疗耐药性局灶性癫痫。
Cochrane Database Syst Rev. 2022 Mar 29;3(3):CD005612. doi: 10.1002/14651858.CD005612.pub5.
6
Antidepressants for people with epilepsy and depression.用于癫痫伴抑郁症患者的抗抑郁药。
Cochrane Database Syst Rev. 2014 Dec 3;2014(12):CD010682. doi: 10.1002/14651858.CD010682.pub2.
7
Felbamate add-on therapy for drug-resistant focal epilepsy.添加氨己烯酸治疗耐药性局灶性癫痫。
Cochrane Database Syst Rev. 2022 Aug 1;8(8):CD008295. doi: 10.1002/14651858.CD008295.pub6.
9
Treatments for seizures in catamenial (menstrual-related) epilepsy.月经性(与月经相关)癫痫发作的治疗方法。
Cochrane Database Syst Rev. 2019 Oct 14;10(10):CD013225. doi: 10.1002/14651858.CD013225.pub2.
10
Rufinamide add-on therapy for drug-resistant epilepsy.鲁非酰胺辅助治疗耐药性癫痫。
Cochrane Database Syst Rev. 2020 Nov 8;11(11):CD011772. doi: 10.1002/14651858.CD011772.pub3.

本文引用的文献

3
Glia and epilepsy: excitability and inflammation.胶质细胞与癫痫:兴奋性与炎症。
Trends Neurosci. 2013 Mar;36(3):174-84. doi: 10.1016/j.tins.2012.11.008. Epub 2013 Jan 5.
5
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.
8
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.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验