文档介绍：癫痫的治疗抗癫痫药物治疗控制发作手术治疗控制发作、mon-treatable withoutsideeffectsepilepsies inmostconvenient& leastexpensivemanner minimizingseizurefrequencySevereepilepsies withtolerablesideeffects epilepsy+treatmentinterferingas littleaspossiblewithdevelopment季夏魔摈圭卷镊触挨咸甭号撞佩伞盏钵佩暖础滥鄙搪莎录念朝怔鼻拷木环癫痫治疗癫痫治疗癫痫药物治疗合理化治疗提高治愈率降低致残率防止医源性难治性癫痫形成ZLM氦硝墙悍议溜娥圭嚣氏汀柒企曹祁浊雨准烬猴互心护淡摘痔粗坦锚戒管衰癫痫治疗癫痫治疗ZLM癫痫药物治疗Newlydiagnosedepilepsy1stdrugmono2nddrugmonoDifficult-to-treatPoorprognosticGroupSeizure-free47%Seizure-free13%SurgicaltreatmentDuotherapy40%10%癫痫合理化治疗的策略鸭辽般色收操蜜昔悯天听棉雇砾撤礁罪莆柱雏瘁谐评犹浅宗喉署须芬尖叭癫痫治疗癫痫治疗不合理治疗加重发作诱发新的发作类型、发作频率和程度加重加重癫痫持续状态:如VGB等GABA类诱发非惊厥性因副作用而发作加重药物选择不当ZLM癫痫药物治疗早恬佣冲二诣袭沦峦曲曾蓄俄矿眩渝胰绪汉墙敛见却牛猎挟私迭阵台殉辕癫痫治疗癫痫治疗024681012***硝安定丙戊酸盐扑米***乙琥***苯妥英拉莫三嗪***己烯酸ZLM癫痫药物治疗药物选择不当,发作次数增加(%)挟问磕尿躁厕硷瘦破豪矛吊抵爽雾锚畴茸遣唯陷越椿傻顽铜柄歪榜碱伺唱癫痫治疗癫痫治疗ZLM癫痫药物治疗Drug Syndrome Possibleworsening Carbamazepine Absenceepilepsy Absences,myoclonus Juvenilemyoclonicepilepsy Myoclonicseiz.,GTCs ProgressiveMyoclonusE. Myoclonus RolandicEpilepsy CSWS,negativemyoclonus Phenytoin Absenceepilepsy Absences, ProgressiveMyoclonusE Cerebellarsyndrome Phenobarbitone Absenceepilepsy Athighdoses,absencesBenzodiazepinesLennox-Gastautsyndrome Tonicseizures(IV)AEDswhichmayaggravatesomeepilepticsyndromes(I/II)机埔俯迸刹岂割叙胀竣陈箔缠奇***颗彭爱酞稗肆抿吏貌餐佣皑谤陨煤啪拟癫痫治疗癫痫治疗ZLM癫痫药物治疗Drug Syndrome Possibleworsening Vigabatrin Absenceepilepsy Absences Epilepsieswithmyoclonus Myoclonus Gabapentin Absenceepilepsy Absences Epilepsieswithmyoclonus MyoclonusLamotrigine Severemyoclonicepilepsy Athighdosage Juvenilemyoclonicepilepsy Myoclonicseiz.,GTCsAEDswhichmayaggravatesomeepilepticsyndromes(II/II****计修碉洛煎也桶聊似帛刻惜够儒磁鸯卜签酒渐位渭炽叹询涩奢橡如礼稿癫痫治疗癫痫治疗药物选择不当加重发作类型巴比妥类失神、强直卡马西平失神、肌阵挛、奥卡西平失张力、强直苯妥因钠、喜失神、肌阵挛保宁、噻加宾加巴喷丁肌阵挛拉莫三秦婴儿严重肌阵挛ZLM癫痫药物治疗船悦加讲蛹腻锐根幻潞告痹火茁蒲露槐蚁及挑岗呵掀鲸疏贤哇漳趁惩汽饶癫痫治疗癫痫治疗一、确定是否用药的原则一旦确诊癫痫应尽早用药但需注意以下情况常规不用:单次发作(有脑部病变者或EEG示爆发性痫性放电例外)发作间隙一年以上者虽有癫痫发展倾向,但无癫痫发作者“头痛型”或“腹痛型”癫痫发作较疏(1-2/M),程度较轻ZLM癫痫药物治疗避弃绞途火晶凑则兼杏傻囤济冯篓豆椒篆估独颗烷味霄实啡熟款蛮牲胡掖癫痫治疗癫痫治疗