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氯氮平致脑电图异常及癫癎发作的文献回顾
引用本文:梁颖杰,王传跃. 氯氮平致脑电图异常及癫癎发作的文献回顾[J]. 临床精神医学杂志, 2006, 16(2): 78-79
作者姓名:梁颖杰  王传跃
作者单位:100088,首都医科大学附属北京安定医院
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。

关 键 词:氯氮平  脑电图  癫疒间发作
文章编号:1005-3220(2006)02-0078-02
收稿时间:2005-12-31

Review of iteratures on clozapine-induced electroencephalographic abnormalities and seizure
LIANG Ying-jie,WANG Chuan-yue. Review of iteratures on clozapine-induced electroencephalographic abnormalities and seizure[J]. Journal of Clinical Psychological Medicine, 2006, 16(2): 78-79
Authors:LIANG Ying-jie  WANG Chuan-yue
Affiliation:Beifing Anding Hospital, Affiliated of the Capital University of Medical Sciences, Beifing 100088, China
Abstract:
Objective:To review the literatures on clozapineinduced 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 EEG and seizure may be,and the more severity of abnormal EEG may be.Conclusion:It is very important for monitoring EEG and serum clozapine concerntration in patients with clozapine regularly.
Keywords:clozapine  electroencephalography  seizure
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