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加巴喷丁治疗癫的随机双盲研究

A Randomized and Double-blind Study of Gabapentin in Treatment of Epilepsy

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【作者】 朱国行丁美萍肖波王德新王德生潘以正赵庆臣潘映福马广玉洪震吕传真

【Author】 ZHU Guo-Xing,DING Mei-Ping,XIAO Bo,WANG De-Xin,WANG De-Sheng,PAN Yi-Zhen,ZHAO Qin-Chen,PAN Yang-Fu,MA Kang-Yu,HONG Zhen,LU Chuan-Zhen Institute of Neurology,Huashan Hospital,Fudan University,Shanghai 20040

【机构】 复旦大学神经病学研究所浙江大学医学院附二医院中南大学湘雅医院首都医科大学附属友谊医院哈尔滨医科大学第一附属医院复旦大学神经病学研究所 200040200040200040

【摘要】 目的 :评价加巴喷丁在癫治疗中的有效性和安全性。方法 :采用多中心随机双盲研究 ,用加巴喷丁添加治疗各型癫 ,观察有效性和安全性。结果 :随机入组病例 2 3 6例 ,进入疗效分析的为 2 0 5例。服用加巴喷丁的病人每 4周随访时的癫发作次数均减少 ,且在用药后第 12周与对照组的差别有统计意义。治疗有效率在用药后第 12、2 0周与对照组的差别有统计意义 ,且在全身强直阵挛发作者和部分性发作继发全身性发作者中更明显。安全性两组无差异。结论 :加巴喷丁在添加治疗癫的疗效显示较安慰剂组在减少癫发作次数和治疗有效率等方面均有较好的疗效 ,同时也是一个安全性较好的药物。

【Abstract】 Aim:The purposes of this study were to assess the safety and efficacy of the gabapentin in adding on treatment of epilepsy patients.Methods:The placebo-controlled,double-blind studies were performed in our country by five hospitals of different provinces(cities). The times of seizure,MMSE and ADL were observed in every 4 weeks to decided the efficacy,and the side effect was also observed to assess the safety.Results:205 patients were studied.106 patients take gabapentin 1200 mg/d,99 patients with placebo.The times of seizure were reducing in patients with gabapentin than with placebo in every 4 weeks,and there were statistic changes in 12 weeks,20 weeks.There was little difference of side effects in the two groups.Conclusion:Gabapentin at a dosage of 1200 mg/d was safety and efficacy in epilepsy.

【关键词】 癫治疗安全性加巴喷丁
【Key words】 gabapentinepilepsyefficacysafety
  • 【文献出处】 中国临床神经科学 ,Chinese Journal of Clinical Neurosciences , 编辑部邮箱 ,2004年02期
  • 【分类号】R742.1
  • 【下载频次】84
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