首页|吡仑帕奈在癫痫共病治疗中的研究进展

吡仑帕奈在癫痫共病治疗中的研究进展

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睡眠障碍、偏头痛、认知与行为障碍和焦虑抑郁等都是常见的癫痫共病,癫痫患者的共病率是一般人群的8倍,影响癫痫患者的预后和生活质量.吡仑帕奈(perampanel,PER)作为第三代抗癫痫药物,临床研究及应用已经显示出在癫痫共病治疗中的前景.PER可以改善癫痫共病睡眠障碍患者的总睡眠时间、睡眠潜伏期和睡眠效率,PER在减少癫痫共病偏头痛患者的癫痫发作和偏头痛发作方面也显示出较好的疗效.同时,PER对总体认知特征的影响是中性的,没有系统性的认知恶化或改善,但行为改变是最常见的PER相关不良事件之一.对癫痫共病焦虑和抑郁的患者,PER不会加重癫痫患者的焦虑和抑郁,并且有一部分患者的焦虑和抑郁严重程度会有所改善.本文将从PER对癫痫共病的作用机制和临床治疗研究进展进行综述.
Progress in researches for perampanel in the treatment of comorbidi-ties of epilepsy
Sleep disorder,migraine,cognitive and behavioral disorders,anxiety and depression are common comorbidities of epilepsy.The comor-bidity rate of epilepsy patients is eight times that of the general population,which affects the prognosis and quality of life of epilepsy patients.Perampanel(PER),as a third-generation antiseizure medication,has shown promising clinical research and applica-tion in the treatment of comorbidities in epilepsy.PER can improve the total sleep time,sleep latency and sleep efficiency of patients with epilepsy co-morbid sleep disorder.PER also shows good effica-cy in reducing seizure and migraine attacks of pa-tients with epilepsy comorbid migraine.Mean-while,the impact of PER on overall cognitive char-acteristics is neutral,with no systematic cognitive deterioration or improvement,but behavioral changes are one of the most common adverse events related to PER.For patients with comorbid anxiety and depression,PER does not exacerbate the anxiety and depression of epilepsy patients,and the severity of anxiety and depression in some patients will improve.This article will review the mechanism of action and clinical treatment re-search progress of PER on comorbidities of epilepsy.

perampanelcomorbidities of epilep-sysleep disordermigrainecognition

陈思蕊、李军强、党小利、王天成

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兰州大学第二临床医学院,兰州 730000,甘肃

兰州大学第二医院神经内科,兰州 730030,甘肃

吡仑帕奈 癫痫共病 睡眠障碍 偏头痛 认知

国家自然科学基金兰州市城关区科技计划AMPA机制及抗癫痫药物研究科研基金

821602622022SHFZ0014cw-2022-009

2024

中国临床药理学与治疗学
中国药理学会

中国临床药理学与治疗学

CSTPCD北大核心
影响因子:0.97
ISSN:1009-2501
年,卷(期):2024.29(3)
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