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氯硝西潘对癫患儿脑电活动影响的定量药物脑电图研究 被引量:5

The effect of clonazepam on EEG in epileptic children: a quantitative pharmaco-electroen-cephalographic study
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摘要 目的了解氯硝西潘对脑电背景活动、样放电的影响 ,及其与氯硝西潘血清浓度的关系。方法采用定量药物脑电图 (QPEEG)的方法 ,对癫患儿一次性静脉注射氯硝西潘 ,观察给药前后血浓液、脑电图各频段功率百分比及样放电的变化。结果静脉注射氯硝西潘后 ,脑电图θ频段功率百分比显著下降 ;β频段功率百分比显著增加 ;样放电数量明显减少 ;所有导联的θ、β频段功率百分比变化与氯硝西潘血浓度的变化均无明显相关性。结论氯硝西潘的QPEEG效应较其血清动力学效应更具有临床及药理学意义。 Objective To explore the effect of clonazepam(CZP) on background EEG activities and epileptiform discharges, and the relationship between the effects and the serum drug concentration.Methods Single dose of clonazepam was injected intravenously in 8 epileptic children. And the changes of serum drug concentration, the power percentages of four EEG bands and epileptiform discharges were observed by using the assay of quantitative pharmaco_EEG (QPEEG).Results Single_dose injection of clonazepam led to the significant decrease of power percentage in the θ band and the increase of power percentage in the β band, and the frequency of epileptic discharge also decreased. There was no significant correlation between the power percentages in theta and beta bands and the serum drug concentration.Conclusions The QPEEG effect of clonazepam has more clinical and pharmacologic significance than that of clonazepam pharmacokinetics alone.
出处 《临床儿科杂志》 CAS CSCD 北大核心 2004年第5期274-276,共3页 Journal of Clinical Pediatrics
基金 卫生部临床学科重点项目(编号 :20010912)
关键词 氯硝西潘 癫痫 小儿 脑电活动 定量药物脑电图 诊断 治疗 clonazepam quantitative EEG epilepsy
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  • 1Wang L, Wang XD. Phamacokinetic and pharmacodynamic effects of clonazepam in children with epilepsy treated with valproate: a preliminary study. Ther Drug Monit, 2002,24(4): 532-536.
  • 2Duncan JS. Antiepileptic drugs and electroencephalogram. Epilepsia, 1987, 28(3) :259.
  • 3Livingston JH, Anderson A, Brown JK, et al. Benzodiazepine sensitivity testing in the management of intractable seizure disorders in childhood. Eletroencephalogr Clin Neurophysiol, 1987, 67:197.
  • 4Huang ZC, Shen DL. The prognostic significance of diazepam-induced EEG changes in epilepsy: a follow-up study. Clin Electroenceph, 1993, 24(4) :179.
  • 5Dahiln MG, Amark PE, Nergardh AR:Reduction of seizures with low-dose clonazepam in children with epilepsy. Pediatr Neurol, 2003, 28: 48- 52.
  • 6Browne TR. Clonazepam: a review of a new anticonvulsant drug. Arch Neurol, 1976, 33: 326.
  • 7Herrmann WM, Irrgang V. An absolute must in clinical pharmacological research: pharmaco-EEG, its possibilities and limitations. Pharmacopsychiatry, 1983, 16:134.
  • 8杨藻宸.医用药理学(第3版)[M].北京:人民卫生出版社,1993.76.

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