733例/次应用抗癫痫药患者血药浓度监测结果分析

目的 :指导临床合理应用抗癫痫药。方法 :运用回顾性调查方法 ,对宣武医院2000年3月～2001年3月所监测的应用抗癫痫药治疗但疗效不佳或怀疑中毒的733例/次患者的血药浓度结果进行分析。结果 :血药浓度在正常治疗浓度范围内的患者占37 6 % ,高于正常治疗浓度范围的患者占6 4 % ,低于正常治疗浓度范围的患者占55 9 %。联合用药的患者中 ,血药浓度高于或低于正常治疗浓度的患者总数达79 1 %。另外 ,在服用中药的患者中 ,测出化学合成药物成分者占90 % ,其中血药浓度不正常者达86 %。结论 :在应用抗癫痫药时 ,不仅应注意血药浓度监测 ,还应尽量避免多种药物联合应用 ,注意中药中含有的化学合成药物成分 ,重视个体化给药。

Analysis of the Results of Blood Concentrations of Anti- epileptic Drugs in 733 Epilepsy Patients

OBJECTIVE:To guide the rational use of anti-epileptic drugs(AEDs)in clinical practice.METHODS:In a retrospective review,there were733patients in Xuanwu hospital who suffered from poor curative effect or intoxication of AEDs from March2000to March2001.The results of blood concentration of anti-epileptic drugs(AEDs Css)were anaˉlyzed.RESULTS:The Css of37.6%of the patients were within the normal Css range,and6.4%were higher and55.9%were lower than the normal.In combined use of AEDs and other drugs,79.1%of the patients had higher or lower Css than norˉmal.In addition,chemosynthetic components were detected in90%of the patients who took Chinese medicine.Among them,86%of the patients had abnormal Css.CONCLUSION:Css monitoring should be done when AEDs were administrated.It is advisable to use only one or two kinds of AEDs,and to pay attention of the chemosynthetic components in Chinese medicine.