在没有氨酸的情况下,在患有异常性全性的女性中,是否可能得到缓解?
Kamil Wężyk1,2, Agnieszka Słowik2,3, Magdalena Bosak4,5
1Faculty of Health Sciences, Jagiellonian University, Krakow, Poland.
拉莫特里金 (LTG) 和 levetiracetam (LEV) 对于患有异常普遍性 (IGE) 的女性来说,是瓦尔酸 (VPA) 的有效替代品. 然而,一些患者仍然需要VPA以获得最佳的控制.
科学领域:
- 神经学 神经学
- 的研究研究.
- 药物治疗 药物治疗
背景情况:
- 异形性普遍性 (IGE) 影响15-20%的病例.
- 瓦尔酸盐 (VPA) 的效果很高,但对生育年龄的妇女来说,它具有致病性风险.
- 建议使用拉莫特里金 (LTG) 和 levetiracetam (LEV) 作为更安全的替代品.
研究的目的:
- 评估IGE在生育年龄妇女的处方实践的变化.
- 评估从VPA切换到替代抗药物 (AED) 之后的发作结果.
主要方法:
- 对130名2000年至2022年间被诊断患有IGE的女性 (18-49岁) 的回顾性分析.
- 评估发作自由率和与VPA和替代AED相关的不良影响.
主要成果:
- 74%的参与者实现了无发作,其中62%的参与者在最后一次随访时无发作.
- 由于不良影响或失去了控制,从VPA切换在21.5%的情况下没有成功.
- 在VPA,LTG和LEV之间,12个月的发作自由率是可比的.
结论:
- 对于许多患有IGE的女性来说,LEV和LTG证明了其作为VPA的替代品的有效性.
- 在一小部分患者中,VPA仍然是最佳的控制所必需的.
- 进一步的大规模,随机化研究是有必要的,以验证这些发现.
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