在怀孕期间治疗 status epilepticus:临床医生调查
Dionne Swor1, Pallavi Juneja2, Charlotte Constantine3
1Department of Neurology, University of Toledo, Toledo, USA. dionne.swor@utoledo.edu.
Neurological research and practice
|January 17, 2024
概括
医生更喜欢使用 levetiracetam 治疗妊娠中状态 (SEP). 管理与非孕妇患者不同,涉及更多的专家,避免潜在有害的抗发作药物 (ASM).
科学领域:
- 神经学 神经学
- 产科 产科 产科 产科 产科
- 关键护理医学 关键护理医学
背景情况:
- 妊娠中的状况 (SEP) 对母亲和胎儿都有重大风险.
- 现有的妊娠管理指南没有充分解决SEP,导致医生不确定性.
- 对于SEP管理的现实世界医生实践需要调查以确定改善护理的领域.
研究的目的:
- 调查当前的临床实践来管理怀孕期间的状态 (SEP).
- 探索医生对SEP治疗的方法,并确定患者护理的潜在改进.
- 了解与非孕妇患者相比,管理SEP的差异.
主要方法:
- 一个匿名的电子调查分发给神经密集专家和神经病学家.
- 该调查于2021年9月至12月期间进行.
- 分析了95项完全完成的调查数据.
主要成果:
- 超过三分之二的受访者 (67%) 曾经管理过SEP,其中大多数 (73%) 报告了与非孕妇患者不同的方法.
- 利维他拉cetam是抗抗药物 (ASM) 首选用于二耐药性SEP (89.7%),其次是lacosamide (61%).
- 跨学科团队的参与,包括产科/孕产妇胎儿医学 (90.8%),是常见的,而氨酸和巴比塔尔很少使用.
结论:
- 列维西拉塞坦是最常见的ASM,用于抗二胺耐药性SEP.
- 孕妇SEP的治疗需要更多的跨学科合作,并避免已知产性ASM.
- 对于SEP的医生实践与非孕妇患者有所不同,这凸显了需要专门护理指南的需要.
相关概念视频
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