在 status epilepticus 中,抗发作药物的适当和不适当的剂量
Susan Schrader1, Melissa Smith1
1Department of Pharmacy, Cleveland Clinic Hillcrest, Mayfield Heights, OH, USA.
状态 (SE) 治疗通常涉及低剂量的类药物. 这项研究没有发现突破性发作或需要救援药物的显著差异,无论二二胺剂量是否足够.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 状态 (SE) 是一种由长时间的发作定义的医疗紧急情况.
- 每年每10万人中,SE影响18.3-41人.
- 临床文献表明,70%-75%的SE患者接受二胺剂量不足,增加风险.
研究的目的:
- 为了评估佐地亚zepine和抗发作药物剂量对成年SE患者突破性发作的影响.
- 为了比较初始二类药物和维持抗发作药物的充足和不足剂量之间的结果.
主要方法:
- 一个单一中心的回顾性队列研究设计.
- 在193名成年SE患者中分析了佐地亚zepine和抗发作药物剂量.
- 主要结局包括在初始治疗后24小时内突破性发作的发生率.
主要成果:
- 87%的充分剂量患者和84%的不充分剂量患者经历了突破性发作 (p=0.62).
- 在充足剂量和不足剂量组中的63%的患者需要非二胺抗发作药物 (p=0.76).
- 突破性发作发生在21%的适当剂量和28%的不充分剂量患者中,这些患者接受了维持性抗药物治疗 (p=0.73).
结论:
- 尽管在SE患者中经常服用二类药物和救援药物的剂量不足,但与适当剂量相比,在复发性发作中没有显著差异.
- 目前的剂量实践可能不会影响SE患者的短期发作复发.
更多相关视频
06:58Non-restraining EEG Radiotelemetry: Epidural and Deep Intracerebral Stereotaxic EEG Electrode Placement
Published on: June 25, 2016
08:28Methods for ECG Evaluation of Indicators of Cardiac Risk, and Susceptibility to Aconitine-induced Arrhythmias in Rats Following Status Epilepticus
Published on: April 5, 2011
相关概念视频
Antiepileptic Drugs: Sodium Channel Blockers
Sodium channel blockers modulate ion channels, particularly voltage-gated sodium channels. They block only sodium ion movement.
Among the most commonly prescribed antiepileptic drugs are...
Antiepileptic Drugs: Calcium Channel Blockers
Calcium channel blockers exert their antiepileptic effects by targeting T-type calcium channels, which are integral to transmitting nerve signals in the central nervous system. These channels allow the passage of calcium ions, which are vital for neuronal communication. By inhibiting T-type calcium channels, calcium channel blockers effectively reduce the release of neurotransmitters and...
Antiepileptic Drugs: Potassium Channel Activators
Ezogabine has gained approval as an adjunctive treatment...
Antiepileptic Drugs: GABAergic Pathway Potentiators
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for...
Arteries of the Lower Limbs
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Antiepileptic Drugs: Glutamate Antagonists
