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目的:评价拉莫三嗪对难治性癫痫的治疗作用和安全性。方法:难治性癫痫病人76例治疗前3mo开始填写发作的逐日志,完成后随机分成单盲、安慰剂对照(n=44)与双盲、交叉、安慰剂对照(n=32)2组,保持原用抗痫药不变,按50~400mg/d(未用丙戊酸者)或25~200mg/d(用丙戊酸者),qod,qn或bid加用拉莫三嗪,对照组用同等剂量的维生素C,3mo为一个疗程。结果:拉莫三嗪有效率为56%,不良反应较轻。结论:拉莫三嗪治疗难治性癫痫是有效和安全的。
Objective: To evaluate the therapeutic effect and safety of lamotrigine on refractory epilepsy. METHODS: Seventy-two patients with refractory epilepsy were enrolled in a randomized, placebo-controlled (n = 44) and double-blind, crossover, placebo-controlled (n = 32) , Keep the original anti-epileptic drugs unchanged, according to 50 ~ 400mg / d (without valproic acid) or 25 ~ 200mg / d (with valproic acid), qod, qn or bid add lamotrigine, The control group with the same dose of vitamin C, 3mo for a course of treatment. RESULTS: Lamotrigine was 56% effective and had mild adverse reactions. Conclusions: Lamotrigine is effective and safe in the treatment of refractory epilepsy.