首页> 外文期刊>Epileptic disorders: international epilepsy journal with videotape >Drug treatment strategies for epilepsy revisited: starting early or late? One drug or several drugs?
【24h】

Drug treatment strategies for epilepsy revisited: starting early or late? One drug or several drugs?

机译:重新治疗癫痫的药物治疗策略:早起还是晚起?一种或几种药物?

获取原文
获取原文并翻译 | 示例
           

摘要

There are two popular strategies for current drug treatment of epilepsy; starting early may be better and polytherapy conveys advantages over monotherapy. This review briefly examines if the historical record is much of a guide to determine the clinical value of these two strategies. Great clinical scientists of the 19th and early 20th century, such as Sir William Gowers, and William Aldren Turner, offered vivid single case studies and showed early results of seizure remission in groups of subjects. The historical record offered, however, no evidence of clear clinical benefits for early treatment and polytherapy. Combination treatment was thought to be useful in only some cases. In agreement, current evidence shows no clear clinical benefit of starting treatment early, except perhaps in severe epilepsy. Polytherapy is clinically useful in a subgroup of subjects, but despite being a standard treatment strategy for over one hundred years, it has been poorly studied. In fact, there is no compelling experimental or clinical evidence for a difference in seizure outcome between monotherapy and polytherapy. This surprising finding should prompt a re-appraisal regarding the need to test both strategies separately for the licensing of new antiepileptic drugs.
机译:当前的癫痫药物治疗有两种流行的策略:尽早开始可能会更好,并且多药疗法比单药疗法更具优势。这篇综述简要地检查了历史记录是否对确定这两种策略的临床价值有很大帮助。 19世纪和20世纪初的伟大临床科学家,例如William Gowers爵士和William Aldren Turner,提供了生动的单例研究,并显示了受试者缓解癫痫发作的早期结果。然而,历史记录没有提供早期治疗和多药疗法明显的临床益处的证据。认为联合治疗仅在某些情况下有用。一致的是,目前的证据表明,除了严重的癫痫病外,及早开始治疗没有明显的临床益处。混合疗法在亚组受试者中在临床上很有用,但是尽管有一百多年的标准治疗策略,但对其研究却很少。实际上,没有令人信服的实验或临床证据表明单一疗法和多元疗法之间癫痫发作的结果存在差异。这一令人惊讶的发现应该促使人们重新评估是否需要对两种策略分别测试新的抗癫痫药的许可。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号