论文部分内容阅读
目的观察奥卡西平治疗癫部分性发作的疗效。方法 51例部分性发作的癫患者采用奥卡西平治疗。成年患者起始剂量300 mg/d,根据病情逐渐加量,3 d后增至基本维持量(600 mg/d),仍有发作者继续加量,2周后达最佳效果或可耐受的最高剂量(1800 mg/d);儿童患者起始剂量8~10 mg/(kg.d),根据病情每周加1次剂量,每次加量不超过10 mg/(kg.d),直至维持剂量30~40 mg/(kg.d)。观察治疗后癫发作情况及药物不良反应。结果奥卡西平治疗5个月后,本组患者总有效率为74%,完全控制率为30%。用药1个月内,本组7例患者出现不良反应,1例因全身皮疹停用奥卡西平。结论奥卡西平治疗癫部分性发作的疗效较好,但有时可产生较严重不良反应,临床应用须谨慎。
Objective To observe the curative effect of oxcarbazepine on partial seizures of epilepsy. Methods Fifty-one patients with partial seizures were treated with oxcarbazepine. Adult patients starting dose of 300 mg / d, according to the disease gradually increase, 3 days after the increase to the basic maintenance (600 mg / d), there are still continue to increase the amount of the authors, the best effect after 2 weeks or the highest tolerability (1800 mg / d). The starting dose for children is 8-10 mg / (kg.d). The dose should be increased by 1 mg / (kg.d) once a week depending on the disease, and the dosage should not exceed 10 mg / (kg.d) Dose 30 ~ 40 mg / (kg.d). Observe the epileptic seizures after treatment and adverse drug reactions. Results After 5 months of oxcarbazepine treatment, the total effective rate was 74% and the complete control rate was 30%. Within 1 month of medication, the group of patients with adverse reactions in 7 patients, 1 patients discontinued oxcarbazepine due to systemic rash. Conclusion Oxcarbazepine treatment of epileptic partial seizures better curative effect, but sometimes can produce more serious adverse reactions, clinical application should be cautious.