女性癫诊断与治疗新理念:分阶段 重管理

New concept on diagnosis and treatment of women with epilepsy: pay attention to managment at different periods

癫是常见的神经系统疾病,其中女性患者较男性患者具有一定的特殊性,癫发作或服用抗癫药物均对女性生理发育各阶段产生影响,故在选择抗癫药物时应考虑多方面因素,"分阶段"制定治疗策略。女性患者易罹患情感障碍、心理障碍、精神障碍和睡眠障碍等共患病,癫长期累积、缺乏管理可以导致巨大危害,故强调"重管理"理念。以女性癫患者为中心,充分考虑其个体化需求,关注整个治疗过程,制定长期随访计划,在控制癫发作的同时,尽可能减少药物不良反应并降低共患病的发生。

Epilepsy is a common chronic disease of the nervous system. Women with epilepsy （WWE） have special characteristics compared to male patients. Epileptic seizures or antiepileptic drugs （AEDs） can affect women＇s physiological development at different periods, therefore, many factors should be considered when selecting AEDs, and optimal treatment strategies should be designed according to ＂different periods＂. WWE are prone to suffer from comorbid diseases such as affective disorders, psychological disorders, mental disorders and sleep disorders. Protracted course of epilepsy and lack of management can lead to great harm. So it is necessary to emphasize the concept of ＂value management＂. Taking WWE as the center, full consideration should be given to individual needs, and attention should be paid to the entire treatment process. Long-term follow-up plans must be formulated at the same time of controlling seizures to minimize drug adverse reactions and reduce the occurrence of comorbid diseases by all possible means.