丙戊酸钠联合拉莫三嗪应用于各型癫痫病治疗中的临床效果
辛建勋,任麦存
(1.宝鸡市眉县人民医院神经内科,陕西 宝鸡,722300;2.宝鸡市眉县中医医院神经内科,陕西 宝鸡,722300)
浏览次数:195次 下载次数:460次
摘要:
目的 探讨丙戊酸钠联合拉莫三嗪治疗各型癫痫病的疗效及安全性。方法 选取我院2013年4月至2016年1月诊治的各型癫痫病患者84例为研究对象,按照随机抽签方法分组,治疗组(n=42)应用丙戊酸钠联合拉莫三嗪治疗,对照组(n=42)单纯采取丙戊酸钠治疗,比较两组患者治疗总有效率和不良反应发生率。结果 治疗组的治疗总有效率是97.62%,不良反应发生率是7.14%;对照组的治疗总有效率是80.95%,不良反应发生率是14.29%;两组患者治疗总有效率与不良反应发生率比较差异有统计学意义(P<0.05)。结论 丙戊酸钠联合拉莫三嗪治疗各型癫痫病的疗效确切,且患者用药安全性较高,有推广意义。
关键词:丙戊酸钠;拉莫三嗪;各型癫痫病
中图分类号:R742.1文献标志码:A文章编号:2096-1413(2017)03-0048-02
Observation of clinical effect of sodium valproate combined with lamotrigine in
treatment of different types of epilepsy
XIN Jian-xun 1, REN Mai-cun 2
(1. Department of Neurology, People's Hospital of Mei County, Baoji 722300; 2. Department of Neurology,
Chinese Medicine Hospital of Mei County, Baoji 722300, China)
ABSTRACT: Objective To discuss the clinical effect and safty of sodium valproate combined with lamotrigine in treatment of different types of epilepsy. Methods From April 2013 to January 2016, eighty-four cases with all types of epilepsy in our hospital were devided into two groups randomly, the treatment group (n=42) received sodium valproate joint lamotrigine, the control group (n=42) took valproic acid treatment, the two groups of patients overall treatment effectiveness and incidence of adverse reactions were compared. Results The total effective rate of the treatment group was 97.62%, and the adverse reaction rate was 7.14%, while the control group was 80.95% and 14.29% respectively, the differences were statistically significant (P<0.05). Conclusion Combined effect of sodium valproate and lamotrigine in the treatment of various types of epilepsy is remarkable and safety, which is worthy of promotion.
KEYWORDS: sodium valproate; lamotrigine; various types of epilepsy
参考文献:
[1] 王静,马瑞莲,邓长林.小剂量丙戊酸联合拉莫三嗪治疗癫痫的疗效及安全性[J].中国老年学杂志,2016,36(10):2486-2488.
[2] 周相峰.探讨用丙戊酸联合拉莫三嗪治疗各型癫痫的临床效果及安全性[J].临床研究,2016,24(4):161-162.
[3] 朱晓玲.丙戊酸治疗无效的癫痫采用拉莫三嗪添加-替换治疗的临床观察[J].中国伤残医学,2015,23(22):86-87.
[4] 朱勇.拉莫三嗪添加与替换治疗丙戊酸治疗无效的癫痫患者的临床疗效对比分析[J].实用中西医结合临床,2015,15(8):39-40.
[5] 赵新春,邢效如,台立稳.拉莫三嗪对癫痫患者疗效和安全性及生活质量影响研究[J].现代预防医学,2015,42(14):2663-2665.
[6] 严伟,王静静.拉莫三嗪联合丙戊酸治疗应用丙戊酸无效的癫痫患者的临床疗效[J].临床合理用药杂志,2016,9(12):56-57.
[7] 章晓富,陈瑛,高慧丽,等.拉莫三嗪添加-替换治疗丙戊酸治疗无效的癫痫患者的临床疗效观察[J].临床神经病学杂志,2014,27(1):50-52.
[8] 张坤,王丽,卢炜.癫癎儿童拉莫三嗪的群体药代动力学研究[J]. 中国当代儿科杂志,2008,10(2):105-109.