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大剂量苯巴比妥治疗难治性惊厥性癫痫持续状态的临床观察
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作者 任思颖 伍国锋 +4 位作者 毛远红 熊洁 罗兴梅 许兰 陈镭 《癫痫与神经电生理学杂志》 2012年第3期144-148,F0003,共6页
目的:观察大剂量苯巴比妥治疗难治性癫痫持续状态(SE)的效果,企为临床工作提供参考。方法:对急诊人院的21例以全身惊厥性SE为突出症状的患者,在针对病因进行积极治疗的同时,进行常规抗癫痫药物(AED)静脉滴注,若癫痫发作症状... 目的:观察大剂量苯巴比妥治疗难治性癫痫持续状态(SE)的效果,企为临床工作提供参考。方法:对急诊人院的21例以全身惊厥性SE为突出症状的患者,在针对病因进行积极治疗的同时,进行常规抗癫痫药物(AED)静脉滴注,若癫痫发作症状难以控制则改用大剂量苯巴比妥进行治疗,观察分析其治疗效果。结果:常规AED治疗时,患者24h内癫痫缓解率为20%;没有完全控制者,改用大剂量苯巴比妥静脉滴注后24h内癫痫均得到完全控制。结论:大剂量苯巴比妥治疗难治性SE是安全有效的方法,常规治疗方法无效时可以采用该方法进行治疗。 展开更多
关键词 癫痫持续状态(SE) 抗癫痫药物(AED) 苯巴比妥疗法
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Investigation of Some Possible Mechanisms Involved in the Anticonvulsant Activity of Tulbaghia violacea Harv
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作者 K. A. A. Masoud Okobi E Ekpo G. J. Amabeoku 《Journal of Pharmacy and Pharmacology》 2017年第9期616-627,共12页
Even though Tulbaghia violacea has been used to treat and manage epilepsy in South Africa by traditional medicine practitioners, no evidence in any literature has shown any scientific scrutiny of the effectiveness of ... Even though Tulbaghia violacea has been used to treat and manage epilepsy in South Africa by traditional medicine practitioners, no evidence in any literature has shown any scientific scrutiny of the effectiveness of the plant species in therapy. This study was intended, therefore, to investigate the anticonvulsant effect of the leaf methanol extract of Tulbaghia violacea by studying its effect against tonic convulsion induced by either PTZ (pentylenetetrazole), bicuculline, picrotoxin, strychnine or NMDLA (N-methyl-DL-aspartic acid) in mice. Qualitative phytochemical analysis, acute toxicity and HPLC studies were also carried out on the plant species. Leaf methanol extract of Tulbaghia violacea, phenobarbitone, diazepam or muscimol significantly antagonised PTZ, bicuculline or picrotoxin-induced convulsion. Combined treatment of sub-effective doses of T. violacea and muscimol significantly antagonised tonic convulsion induced by PTZ. T. violacea or phenobarbitone significantly antagonised strychnine-induced tonic convulsion. T. violacea or LY233053 significantly antagonised NMDLA-elicited tonic convulsion. Phenytoin or DMSO (dimethylsulfoxide) did not significantly affect the tonic convulsion produced by PTZ, bicuculline, picrotoxin, strychnine or NMDLA. The phytochemical qualitative analysis of the plant species showed the presence of alkaloids, saponins, reducing sugars, flavonoids, cardiac glycosides, triterpene steroids, quinones and tannins. The LD50 value obtained following oral administration of the plant extract was over 4000 mg/kg. The data in the present study indicate that the leaf methanol extract of T. violacea has anticonvulsant activity which is probably underpinned by GABAergic, glutaminergic and glycinergic mechanisms. 展开更多
关键词 Tulbaghia violacea ALLIACEAE anticonvulsant properties GABAERGIC glutamatergic and glycinergic mechanisms mice.
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