Song Tingting, Jiang Yongsheng, Zhang Xiaoge, et al. Analysis of Medication Characteristics in 341 Children with Epilepsy[J]. 2022,28(4):41-44. DOI: 10.13407/ j.cnki.jpp.1672.108X.2022.04.012.
Objective: To investigate the use of antiepileptic drugs in children with epilepsy
and to provide reference for clinical medication. Methods: The clinical data of 341 children who were admitted to the outpatient clinic of pediatric epilepsy specialty in two hospitals from February 2018 to August 2018 were reviewed
and the drug regimen selection and seizure control rate were statistically analyzed. Results: In 341 epilepsy patients investigated
the ratio of male to female was 1.04:1. The age of the patients ranged from 9 months old to 19 years old
and the median age was 6.75 years
and 32.55% of the patients were aged from 1 to 3 years. The treatment rates of single drug
double drug
three or more antiepileptic drugs were respectively 47.5%
29.6% and 22.9%. The overall seizure control rate of 341 patients above Grade II was 84.45% after treatment with antiepileptic drugs
. The control rates were 94.45%
69.63% and 45.56% in single drug treatment
double drug treatment and three or more combination treatment. The top three drugs used in single drug therapy were levetiracetam (LEV)
phenobarbital (PB) and carbamazepine (CBZ)
and the top three drugs used in multidrug therapy were LEV
VPA and TPM. Conclusion: The incidence of epilepsy in children is the most in infancy; Drug therapy was mainly single drug therapy
followed by dual drug combination therapy. LEV
Phenobarbital
CBZ
LEV
VPA and TPM are all first-line drugs for drug therapy
with high frequency of use. The most common two-drug combination regimens are LEV with VPA