高齢者における
Arjune Sen1, Nathalie Jette2, Masud Husain3
1Oxford Epilepsy Research Group, National Institute for Health Research Oxford Biomedical Research Centre, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, Oxford, UK.
Lancet (London, England)
|March 2, 2020
まとめ
エピレプシは多くの高齢者に 影響を及ぼしますが 研究はしばしばこの人口を無視しています このレビューは,高齢者におけるのより良い診断,治療,包括的な臨床試験の必要性を強調しています.
科学分野:
- 高齢者医療
- 神経学
- 公衆衛生
背景:
- 世界中で高齢者層は 特に高齢者層は 医療の課題に直面しています
- 発作が繰り返されるのが特徴で,65歳以上の成人に多く見られるが,研究対象は限られている.
- 高齢者のエピレプシーを理解することは 効果的な医療の提供に不可欠です
研究 の 目的:
- 高齢者の epilepsy の原因,診断,治療について見直す.
- 高齢者の epilepsy の共病性および心理社会的影響を調査する.
- 高齢者におけるに対する包括的な臨床試験と予防戦略を提唱する
主な方法:
- 高齢者におけるに関する包括的な文献レビュー
- 診断の課題と治療の選択肢 (薬剤と手術) の分析
- 認知的,心理的,心理的社会的要因の評価,世界の経済格差を考慮する.
主要な成果:
- 高齢者におけるの特定原因と診断上の困難
- 適切な抗発作薬と手術について話し合った
- 様々な所得国における社会およびケアネットワークに対するの影響を調査した.
結論:
- エピレプシーの臨床試験に 高齢者をより多く含める必要性を強調しています
- 血管の危険因子を改善することで 高齢者のエピレプシーの発生率を減少させることが示唆されています.
- 高齢者におけるの治療に 合わせた医療戦略を 求める
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