新生儿有的抗发作药物
Thangaraj Abiramalatha1,2, Sivam Thanigainathan3, Viraraghavan Vadakkencherry Ramaswamy4
1Neonatology, KMCH Institute of Health Sciences and Research (KMCHIHSR), Coimbatore, Tamil Nadu, India.
The Cochrane database of systematic reviews
|October 24, 2023
概括
费诺巴比他可能比 levetiracetam 更好地控制新生儿发作. 然而,对其他抗发作药物 (ASM) 和治疗策略的证据有限,这凸显了对新生儿发作管理的更多研究的需要.
科学领域:
- 新生儿神经病学 新生儿神经病学
- 临床药理学 临床药理学
- 基于证据的医学 基于证据的医学
背景情况:
- 新生儿发作带有长期神经发育问题的高风险.
- 最佳的第一,第二和第三线抗发作药物 (ASM) 选择仍然不清楚.
- 关于电图的治疗和ASM治疗的持续时间存在不确定性.
结论:
- 芬诺巴比他 (Phenobarbital) 显示出相对于 levetiracetam 作为新生儿发作第一线ASM的可能有效性.
- 对于其他ASM,维护策略和电图发作治疗,仍然存在显著的证据缺口.
- 进一步的精心设计的RCT对于澄清最佳的新生儿发作管理和长期神经发育结果至关重要.
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