在智力障碍患者中治疗发作
Lance Vincent Watkins1,2,3, Michael Kinney4, Rohit Shankar5,6
1Swansea Bay University Health Board, Port Talbot, Wales, UK.
和智力障碍 (ID) 需要综合管理. 本综述提供了针对ID患者的抗药物 (ASM) 的基于证据的指导,使用交通信号灯系统以提高清晰度.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 临床药理学 临床药理学
背景情况:
- 是智力障碍 (ID) 患者常见的并发症,经常带来复杂的挑战.
- 这种人群经历了更高的治疗耐药性,多种健康问题和增加的死亡率.
- 存在有限的高质量的证据来指导针对ID患者的抗发作药物 (ASM) 选择.
研究的目的:
- 更新用于在ID患者处方ASM的证据库.
- 为ASM的选择和管理提供实用,基于证据的建议.
- 将来自康沃尔英国Ep-ID研究登记册的数据纳入新的ASM.
主要方法:
- 对目前关于ASM对ID患者处方的证据的系统审查.
- 来自康沃尔英国Ep-ID研究注册 (10年) 的实用数据的分析.
- 交通灯系统的开发,以提供可访问的治疗建议.
主要成果:
- 对ASM处方的建议是基于综合证据和专家意见.
- 提出了ASM选择的实用方法,考虑药物概况,副作用和患者特征.
- 该审查涵盖了较新的ASM,综合征特异性治疗和潜在的未来疗法.
结论:
- 基于证据的整体方法对于治疗ID患者的至关重要.
- 交通信号灯系统为临床医生提供了一个实用的工具.
- 非药物干预,包括手术,也被认为是综合性管理.
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