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丙戊酸钠治疗癫痫时的个体化患者评估

Individualized patient assessment in the treatment of epilepsy with sodium valproate.

作者信息

Beran R G, Read T, Reid M, Rischbieth R H, Sansom L, Schapel G J, Stanley P E

出版信息

Epilepsia. 1980 Aug;21(4):379-86. doi: 10.1111/j.1528-1157.1980.tb04085.x.

Abstract

This study records a comprehensive clinical protocol developed to assess seizure control and unwanted effects in 19 patients treated with sodium valproate (VPA). The assessment is based on six parameters individually ranked: seizure frequency, seizure duration, EEG comparisons, intellectual and cognitive function tests, sociological profile, and unwanted effects. Each parameter was ranked from one to five, and the mean was used to assess the overall patient state. Using this technique, this study assesses the therapeutic efficacy of VPA and the benefits of individualization of therapy as predicted by the use of pharmacokinetic parameters in a controlled trial.

摘要

本研究记录了一项全面的临床方案,该方案用于评估19例接受丙戊酸钠(VPA)治疗患者的癫痫控制情况及不良反应。评估基于六个单独排序的参数:癫痫发作频率、发作持续时间、脑电图比较、智力和认知功能测试、社会学概况以及不良反应。每个参数从1到5进行排序,其平均值用于评估患者的整体状态。本研究采用该技术,在一项对照试验中评估了VPA的治疗效果以及根据药代动力学参数预测的个体化治疗的益处。

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