盐酸哌甲酯控释片与卡马西平对伴中央颞区棘波的小儿癫痫合并多动症的临床治疗效果及行为能力影响

Effect of Methylphenidate Hydrochloride Controlled-release Tablets and Carbamazepine on Clinical Therapeutic Effect and Behavioral Ability of Children with Epilepsy Complicated by Hyperactivity Disorder with Central Temporal Spikes

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(6)
作者
作者单位

西安市阎良区人民医院 ;

摘要
【摘要】目的:探讨盐酸哌甲酯控释片联合卡马西平治疗伴中央颞区棘波的小儿良性癫痫合并多动综合症(BECTs伴ADHD)的疗效。方法:选择2011年1月至2016年1月于本院精神内科治疗且确诊BECTs伴ADHD患儿80例作为研究对象,均首先采用卡马西平单药治疗,若6个月内复查脑电图(EEG)稳定,联用盐酸哌甲酯控释片进行继续治疗。观察治疗前后患儿注意力和行为改善情况、癫痫发作情况、不良反应和治疗效果。结果:经卡马西平治疗3个月后的BECTs治疗总有效率为70.00%(56/80);经卡马西平治疗有效的56例患儿继续接受卡马西平联合盐酸哌甲酯治疗,1例患儿因痫样发作的频率增加停止治疗,其余55例患儿经过6个月治疗,ADHD治疗总有效率为92.73%(51/55)。治疗后,Conner儿童行为的问卷评分显著降低。结论:卡马西平和盐酸哌甲酯的控释片的联合使用,能够有效的控制BECTS伴ADHD患儿的临床症状,明显改善患儿的注意力和其社会功能,且具有一定的临床安全性。
Abstract
【Abstract】 Objective: Discussing methylphenidate hydrochloride controlled releasing tablets combined with carbamazepine with central temporal spikes in children with benign epilepsy syndrome combined effect of hyperactivity. Method: 80 children with BECTs and ADHD, who were diagnosed and treated in our hospital from January 2011 to January 2016, were selected as the research object. All children were given carbamazepine for treatment. If the 6 month review of electroencephalogram (EEG) stability, the children were given hydrochloride controlled release tablets combined with carbamazepine for treatment. The improvement of attention and behavior in children, the situation of seizure before and after the treatment, adverse reaction and treatment effect were observed and compared. Result: The total effective rate of BECTs treatment was 70% (56/80) 3 months after carbamazepine treatment. 2 cases of children with epilepsy due to increased frequency of seizures stop treatment. After 6 months of treatment, the total effective rate was 92.73% (51/55) in 55 patients. The Conner child behavior questionnaire scores were significantly reduced after treatment. Conclusion: Combining carbamazepine and methylphenidate hydrochloride controlled releasing tablets, there could effectively control the clinical symptoms which BECTS and ADHD in children, and significantly improved the attention of children and their social function, and had certain clinical safety .
关键词
【关键词】盐酸哌甲酯的控释片;卡马西平;中央颞区棘波;小儿良性癫痫;多动综合症
KeyWord
【Key words】methylphenidate hydrochloride controlled release tablets; carbamazepine; central temporal spikes; benign infantile epilepsy; hyperactive syndrome
基金项目
页码 1015-1018
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赵秀莲*,王汉艳,冉苗苗,孙亚荣. 盐酸哌甲酯控释片与卡马西平对伴中央颞区棘波的小儿癫痫合并多动症的临床治疗效果及行为能力影响 [J]. 国际精神病学杂志. 2016; 43; (6). 1015 - 1018.

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