摘要
准备妊娠和妊娠期的癫痫患者应根据癫痫的类型合理选择和使用抗癫痫药。用药期间应尽量采用单药治疗,将剂量调整为控制癫痫的最小剂量,加强血药浓度监测,补充叶酸和维生素K及做好产前检查,以减少或避免胎儿畸形的发生。精神药物可通过胎盘或乳汁使胎儿或新生儿出现一些不良反应。因此,在对这类患者进行精神科治疗时应尽量权衡治疗的利弊。
The epileptic women before or during pregnant should choose antiepileptie drug carefully. During the treatment with antiepileptic drug, the monotherapy should be given so far as possible, dosage should be keep to the minimum necessary to control fits, the serum concentration should be monitored, and prenatal care should be performed in order to reduce or avoid the occurrence of fetal malformations. The use of psychiatric medications is a cause of coneern for physicians and their patients. With the limited information available on the risks of the psychotropic medications, clinical management must incorporate an appraisal of the clinical consequences of offspring exposure, the potential effect of untreated maternal psychiatric illness, and the available alternative therapies.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2009年第8期587-589,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
妊娠
神经系统疾病
精神病
维生素K
抗癫痫药
抗精神病药
pregnancy
nervous system diseases
psychotic disorders
VitK
antiepileptic drugs
antipsychotic drugs
