针对患者的抗发作药物:一篇综述
Andres M Kanner1, Manuel Melo Bicchi1
1Comprehensive Epilepsy Center and Epilepsy Division, Department of Neurology, University of Miami, Miller School of Medicine, Miami, Florida.
治疗的目的是控制发作和预防伤害. 选择抗发作药物 (ASD) 需要仔细考虑类型,患者因素和潜在的副作用,以获得最佳结果.
科学领域:
- 神经学
- 药理学
- 病学
背景情况:
- 全球有6500万人患有,
- 有效的治疗需要消除,同时尽量减少抗药物 (ASD) 的不良影响.
- 诊断包括将发作分为焦点发作或通用发作.
研究的目的:
- 概述选择适当的抗发作药物的原则.
- 强调治疗的个性化策略.
- 强调在自闭症选择中考虑并发症和药物相互作用的重要性.
主要方法:
- 对当前FDA批准的集中性和普遍性的抗发作药物的审查.
- 影响自闭症选择的因素分析,包括发作类型,综合征,患者人口统计和并发症.
- 考虑药物相互作用和潜在的不良影响,例如对骨健康和心血管疾病的影响.
主要成果:
- 大约60- 70%的患者在当前的自闭症中实现了无性发作.
- 25-50%的患者同时出现神经,精神或认知障碍.
- 特定的自闭症症,如牛糖和拉莫特林,是焦点的第一线治疗;其他患者则根据个体的情况进行选择.
结论:
- 最佳的治疗需要根据发作类型,综合征,患者特征和并发症进行个性化选择.
- 仔细选择自闭症可以减轻伤害,死亡和药物不良影响的风险.
- 治疗并发症和潜在的药物相互作用对于综合性治疗至关重要.
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