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1 我国癫痫诊疗的现状癫痫的患病率在国外为5‰～20‰,在我国为4‰～6‰,发病率为每年25/10万,患者不少。在治疗上,由于某些医生对癫痫用药的认识不够全面,存在着混乱现象。例如,不问什么类型都用苯妥英钠(DPH)或苯巴比妥(PB);一个患者一种发作,由于发作控制不满意,不断加药可达4～5种之多;小剂量多种药物的共用;某种药物用埋种法,希望能起到长效的目的等。以上这些用法,多没有血液药物浓度的监测,也没有对照组,因此缺少科学性,不宜评价疗效。
1 The status quo of epilepsy diagnosis and treatment in China The prevalence of epilepsy in foreign countries is 5 ‰ ~ 20 ‰, in our country 4 ‰ ~ 6 ‰, the incidence rate of 25/100 000 per year, many patients. In the treatment, there is chaos because some doctors do not know enough about epilepsy medication. For example, phenytoin sodium (DPH) or phenobarbital (PB) is used regardless of the type; in one patient, one episode is up to 4 to 5 due to dissatisfactory seizure control; small doses Drug sharing; a drug buried method, hoping to play a long-term purpose. These uses, more than the monitoring of blood drug concentration, there is no control group, so the lack of scientific, should not evaluate the efficacy.