摘要
目的:了解我国应用氯氮平引起脑电图(EEG)异常及癫疒间发作的情况。方法:通过数据库及手工检索收集1979年至2004年国内有关氯氮平所致EEG异常及癫疒间发作的文献143篇,其中癫疒间发作的个案报道30例。结果:异常发生率为67.20%(5 543/8 249),癫疒间发作的发生率为0.95%(297/31 185)。资料显示,氯氮平的口服剂量越大,发生EEG异常及癫疒间的风险就越大、EEG异常程度就越重。结论:服用氯氮平治疗的患者定期进行EEG及血药浓度监测十分必要。
Objective:To review the literatures on clozapine-induced electroencephalographic abnormalities and seizure in China. Method: 143 reports (1979-2004) were collected by China National Knowledge Infrastructure (CNKI) and China Biology Medical Disc (CBMDISC) and handwork. 30 of them were case reports about seizure. Results:The incidence of EEG abnormalities and seizure was 67.20% (5 543/8 249) and 0.95% (297/31 185) respectively. It was showed that the higher daily dose of clozapine was the greater risk of abnormal EEC and seizure may be, and the more severity of abnormal EEG may be. Conclusion:It is very important for monitoring EEG and serum clozapine concemtration in patients with clozapine regularly.
出处
《临床精神医学杂志》
2006年第2期78-79,共2页
Journal of Clinical Psychiatry
关键词
氯氮平
脑电图
癫癇发作
clozapine
electroencephalography
seizure