退出策略:平衡抗发作药物戒断的风险和收益
Marian Galovic1, Carolina Ferreira-Atuesta2, Lara E Jehi3
1Department of Neurology, Clinical Neuroscience Center, University Hospital and University of Zurich, Zurich, Switzerland.
Epilepsy currents
|June 20, 2024
概括
大多数患者在实现无后可以安全地停止服用抗药物 (ASM). 本综述提供了基于证据的ASM戒断指南,考虑手术和急性发作,以帮助管理风险和益处.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 基于证据的医学 基于证据的医学
背景情况:
- 的治疗通常涉及长期使用抗发作药物 (ASM).
- 实现发作自由为药物戒断提供了可能性,提供了潜在的好处,但也带来了风险.
- 目前的文献需要进行批判性检查,以指导安全有效的ASM解药.
研究的目的:
- 审查基于证据的抗发作药物 (ASM) 戒断策略.
- 探索预后模型,以告知各种情景中的抑郁症决定.
- 在管理ASM退出时强调共享决策.
主要方法:
- 对有关ASM撤销的现有文献进行系统审查.
- 对没有发作的人,术后患者和急性症状发作患者的抑郁策略的分析.
- 对预测戒断结果的预后模型的评估.
主要成果:
- 在实现扣押自由时,ASM撤回可以提供显著的好处.
- 预测模型在指导ASM退出决策过程中表现出有希望.
- 患者,护理人员和医生参与的合作决策至关重要.
结论:
- 基于证据的ASM戒断建议对于优化患者护理至关重要.
- 共享决策有效地管理与停止ASM相关的权衡.
- 对预后模型的进一步研究可以提高治疗中止的安全性和有效性.
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