怀孕后发作频率和抗发作药物治疗治疗的变化
Revital Gandelman-Marton1, Jacques Theitler1
1Neurology Department, Shamir-Assaf Harofeh Medical Center, Zerifin, Israel; Faculty of Medical & Health Sciences, Tel Aviv University, Israel.
患有的女性的孕产妇发作在怀孕后没有增加,与怀孕前或非怀孕的个人相比. 发作频率保持稳定,怀孕期间和产后期间使用的抗发作药物较少.
科学领域:
- 神经学 神经学
- 产科 产科 产科 产科 产科
- 药理学 药理学是指药理学的学科.
背景情况:
- 产后母亲发作带有严重发病,死亡和危及生命的婴儿损伤的风险.
- 了解产后发作模式对于母亲和婴儿的健康至关重要.
研究的目的:
- 为了比较患有的妇女的产后发作频率与她们的怀孕前发作率.
- 评估产后发作频率与患有的非孕妇的发作频率.
主要方法:
- 从2012年至2020年对成人临床记录的回顾性审查.
- 包括42个怀孕在34名妇女患有.
- 匹配了42名患有的非孕妇的对照组.
主要成果:
- 在孕妇和对照人群之间,每月平均发作频率或发作自由率没有显著差异.
- 在孕妇的产后期,发作频率下降的趋势 (p=0.076).
- 与对照组相比,孕妇在怀孕期间和产后使用的抗发作药物 (ASM) 较少,ASM治疗更频繁.
结论:
- 根据指导方针管理的患者产后发作频率与怀孕前或非怀孕的对照没有显著差异.
- 管理策略可能包括减少孕妇抗发作药物的使用.
- 在怀孕期间和产后对ASM管理的进一步研究是有必要的.
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