在儿科偏头痛预防中比较普雷加巴林和甲:一项随机临床试验
Narjes Jafari1, Mohammad Mehdi Nasehi1, Aiden Nasiri Eghbali2
1Pediatrics Neurology Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
普雷加巴林和甲同样减少了儿童的偏头痛强度和持续时间. 普雷加巴林在降低偏头痛频率和止痛药使用方面表现更好,这表明它是预防的合适替代品.
科学领域:
- 儿科神经学 儿科神经学
- 临床药理学 临床药理学
背景情况:
- 偏头痛是儿童中普遍存在的一种神经疾病.
- 以最小的副作用进行预防对于儿科偏头痛管理至关重要.
研究的目的:
- 为了比较Pregabalin和甲在预防儿童偏头痛发作方面的疗效.
- 评估这些药物对偏头痛频率,强度,持续时间和相关焦虑水平的影响.
主要方法:
- 一项随机研究涉及64名被诊断患有偏头痛的儿童 (6-18岁).
- 参与者被分配给四个月的最低有效剂量的甲或普雷加巴林.
- 结果包括攻击频率,强度,持续时间,止痛药消费和使用Spence儿童焦虑量表的焦虑程度.
主要成果:
- 普雷加巴林和甲都在减少偏头痛强度和持续时间方面表现出同等的有效性.
- 在两组治疗中,焦虑水平同样降低.
- 在研究结束时,Pregabalin在降低偏头痛发作频率和每月服用止痛药方面的统计学上显著优势,与酸相比.
结论:
- 普雷加巴林似乎是预防性偏头痛治疗儿童中甲的潜在有效替代品.
- 普雷加巴林在降低偏头痛频率和止痛药使用方面的优越作用在临床实践中需要进一步考虑.
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