在神经外科手术患者中,需要使用烯酸作为预防措施
Shaharyar Sheikh1, Kamran Hussain1, Saman Shahid2
1Department of Neurosurgery, Federal Postgraduate Medical Institute, Shaikh Zayed Hospital, Lahore, Pakistan/ Department of Neurosurgery, Central Park Teaching Hospital, Lahore, Pakistan.
预防性抗药物 (AED),如酸,经常用于神经外科患者. 这项研究发现,手术后接受氨酸或安慰剂的患者之间的发作频率没有显著差异.
科学领域:
- 神经外科 神经外科
- 发病学 (Epileptology) 是一个专业的学科.
- 临床试验 临床试验
背景情况:
- 抗药物 (AED) 是常规给神经外科患者的药物.
- 预防性氨酸在预防术后发作方面的疗效需要进一步研究.
研究的目的:
- 评估在脑外科手术患者中预防瓦尔酸盐的必要性和合理性.
- 为了比较术后接受氨酸和安慰剂的患者的发作频率.
主要方法:
- 一项受控试验涉及100名神经外科患者 (每组50名:氨酸与安慰剂).
- 血清中氨酸水平进行监测 (50-125微克/毫升).
- 肯德尔的Tau和电脑电图 (EEG) 模式 (使用EMOTIV EPOC) 分析了发作频率与手术程序和操纵程度 (EOM) 的相关性.
主要成果:
- 在氨酸和安慰剂组之间没有观察到发作频率的统计学上显著差异.
- 发作频率在脑瘤患者中最高.
- 没有发现发作频率与外科手术或EOM之间有显著的相关性.
结论:
- 预防性使用抗药物,如氨酸,可能不需要所有神经外科患者.
- 如果在临床上不适合,应重新考虑作为预防措施的常规服用AED.
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