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二丙乙酸治疗儿童癫痫的经验

Experiences on the use of dipropylacetate in the treatment of childhood epilepsy.

作者信息

Sillanpää M, Donner M

出版信息

Acta Paediatr Scand. 1976 Mar;65(2):209-15. doi: 10.1111/j.1651-2227.1976.tb16540.x.

DOI:10.1111/j.1651-2227.1976.tb16540.x
PMID:816172
Abstract

The antiepileptic efficiency of dipropylacetate (DPA) was studied in 80 epileptic children who suffered either from seizures resistant to previous medication, so-called idiopathic epilepsy or progressive myoclonus epilepsy. The average peroral daily dosage of DPA was 21 mg/kg divided into 2 to 3 doses. DPA was most effective in cases with 1) so-called idiopathic epilepsy (genuine petit mal, photogenic epilepsy, myoclonic petit mal in older children), 2) seizures beginning in later childhood years, 3) photosensitive and hyperventilation-sensitive seizures, 4) EEG showing symmetric generalized spike-slow wave complexes provoked by photostimulation, 5) EEG without generalized disturbance or focal findings, 6) normal neurological and mental status, 7) progressive myoclonus epilepsy. DPA may thus be recommended for the treatment of the above-mentioned cases and, due to good treatment results, also tried in other types of epilepsy.

摘要

对80名癫痫患儿进行了丙戊酸二丙酯(DPA)抗癫痫疗效的研究,这些患儿患有对先前药物治疗耐药的癫痫发作,即所谓的特发性癫痫或进行性肌阵挛癫痫。DPA的平均口服日剂量为21mg/kg,分2至3次服用。DPA在以下情况最为有效:1)所谓的特发性癫痫(典型失神发作、光敏感性癫痫、大龄儿童肌阵挛性失神发作);2)在儿童后期开始发作的癫痫;3)光敏感性和过度换气敏感性癫痫发作;4)脑电图显示光刺激诱发对称的全身性棘慢复合波;5)脑电图无全身性紊乱或局灶性表现;6)神经和精神状态正常;7)进行性肌阵挛癫痫。因此,DPA可推荐用于上述病例的治疗,并且由于治疗效果良好,也可尝试用于其他类型的癫痫。

相似文献

1
Experiences on the use of dipropylacetate in the treatment of childhood epilepsy.二丙乙酸治疗儿童癫痫的经验
Acta Paediatr Scand. 1976 Mar;65(2):209-15. doi: 10.1111/j.1651-2227.1976.tb16540.x.
2
[The treatment of primary generalized epilepsies with dipropyl acetate (DPA)].用双丙戊酸(DPA)治疗原发性全身性癫痫
Fortschr Med. 1977 Apr 7;95(13):892-6.
3
Sodium di-N-propylacetate (DPA) in the treatment of epilepsy. A review.二正丙基乙酸钠(DPA)治疗癫痫:综述
Epilepsia. 1975 Nov;16(4):549-73. doi: 10.1111/j.1528-1157.1975.tb04738.x.
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Treatment of childhood epilepsy with dipropylacetic acid (DPA).用丙戊酸(DPA)治疗儿童癫痫。
Arch Psychiatr Nervenkr (1970). 1978 Oct 9;226(1):43-55. doi: 10.1007/BF00344123.
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Sodium valproate and clonazepam in the treatment of intractable epilepsy.丙戊酸钠与氯硝西泮治疗难治性癫痫
Arch Neurol. 1977 Jan;34(1):14-7. doi: 10.1001/archneur.1977.00500130034007.
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Dipropylacetate (Dépakine, Ergenyl) in the treatment of epilepsy.双丙戊酸(德巴金、治癫灵)用于癫痫治疗。
Epilepsia. 1973 Jun;14(2):185-93. doi: 10.1111/j.1528-1157.1973.tb03955.x.
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Lamotrigine adjunctive therapy among children and adolescents with primary generalized tonic-clonic seizures.拉莫三嗪辅助治疗儿童和青少年原发性全面性强直阵挛发作。
Pediatrics. 2006 Aug;118(2):e371-8. doi: 10.1542/peds.2006-0148. Epub 2006 Jul 17.
8
[Austrian complex-study on dipropylacetate. Pediatric experiences].[奥地利关于二丙基乙酸酯的综合研究。儿科经验]
Padiatr Padol. 1976;11(1):178-85.
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[Treatment of epilepsy in children using dipropyl acetic acid (DPA)].[使用丙戊酸(DPA)治疗儿童癫痫]
Fortschr Med. 1973 May 10;91(13):590-1 passim.
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Clinical experience with sodium valproate in children.丙戊酸钠在儿童中的临床应用经验。
S Afr Med J. 1980 May 24;57(21):866-7.

引用本文的文献

1
Phenytoin-valproate interaction: importance of saliva monitoring in epilepsy.苯妥英钠与丙戊酸盐的相互作用:癫痫患者唾液监测的重要性。
Br Med J (Clin Res Ed). 1982 Jan 2;284(6308):13-6. doi: 10.1136/bmj.284.6308.13.
2
Psychosis-like absence status of elderly patients: successful treatment with sodium valproate.老年患者的类精神病性失神状态:丙戊酸钠治疗成功
J Neurol Neurosurg Psychiatry. 1984 Sep;47(9):965-9. doi: 10.1136/jnnp.47.9.965.
3
Drug treatment of epilepsy. Outlines, criticism and perspectives.癫痫的药物治疗。概述、批评与展望。
Drugs. 1986 Mar;31(3):249-65. doi: 10.2165/00003495-198631030-00003.
4
Disposition of anticonvulsants in childhood.儿童期抗惊厥药物的处置
Clin Pharmacokinet. 1989;17 Suppl 1:89-104. doi: 10.2165/00003088-198900171-00007.
5
Sodium valproate: a review of its pharmacological properties and therapeutic efficacy in epilepsy.丙戊酸钠:其药理学特性及在癫痫治疗中的疗效综述
Drugs. 1977 Feb;13(2):81-123. doi: 10.2165/00003495-197713020-00001.
6
Treatment of childhood epilepsy with dipropylacetic acid (DPA).用丙戊酸(DPA)治疗儿童癫痫。
Arch Psychiatr Nervenkr (1970). 1978 Oct 9;226(1):43-55. doi: 10.1007/BF00344123.