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find Author "肖潇" 6 results
  • Clinical analysis of lacosamide in the treatment of infantile focal epilepsy

    ObjectiveTo observe the efficacy and safety of lacosamide (LCM) as a monotherapy or as an add-on in the treatment of focal epilepsy in children aged 4 months to 4 years. MethodsThe study included 20 children with focal epilepsy who received oral LCM monotherapy or add-on therapy in Children's Hospital Affiliated to Soochow University from March 2022 to September 2022, including 9 males and 11 females with an average age of (22.4±13.0) months. The curative effects and adverse reactions at 1, 2, 3, 4, and 6 months after LCM treatment were analyzed. The initial dose of LCM was 2 mg/(kg·d) and increased by 2 mg/(kg·d) every week, maintenance dose 6 ~ 12mg/(kg·d). Results During the follow-up period of this study, the total effective cases were 17 (85.00%), and the number of control-free cases was 15 (75.00%). Conclusion LCM can effectively reduce the frequency of epileptic seizures in the monotherapy or add-on treatment of infants and young children with focal epilepsy, with few adverse reactions and high retention rate, which has high clinical application value.

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  • 可调节负压引流技术结合植皮治疗皮肤缺损伴感染创面

    【摘要】 目的 总结可调节负压引流技术结合植皮治疗皮肤缺损伴感染创面的临床效果。 方法 2008年5月-2011年5月,对106例皮肤缺损伴感染创面患者采用间歇负压引流治疗3~10 d,负压值设为50~120 mm Hg(1 mm Hg=0.133 kPa),创面达到二期植皮条件时,采用大张、网状或邮票状皮片覆盖创面,继续采用持续负压引流治疗3~12 d,负压值设为50~60 mm Hg。 结果 56例大张皮片植皮中,2例皮片出现0.5 cm×1.0 cm~0.8 cm×1.2 cm皮片坏死;21例邮票状植皮者,1例出现皮片移动皱缩。除5例骨外露,先通过植皮创面缩小后行皮瓣修复,101例创面愈合时间7~25 d,平均14 d,无因植皮片未成活需再次植皮和因感染死亡或截肢。 结论 可调节负压引流技术结合植皮治疗皮肤缺损伴感染创面,可有效控制感染,减轻患者换药痛苦,减少医务人员工作量,加快植皮创面愈合,缩短创面治愈时间。

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • 热性感染相关性癫痫综合征一例

    Release date:2021-04-25 09:50 Export PDF Favorites Scan
  • Clinical analysis of Lacosamide monotherapy in the treatment of Children with Benign Epilepsy with Centro-Temporal Spikes

    ObjectiveTo observe the clinical efficacy and safety of Lacosamide (LCM) monotherapy in treating Benign epilepsy with centro-temporal spikes (BECT) at children. MethodsThe present research included 57 children with BECT who were treated with LCM monotherapy in the Children's Hospital Affiliated to Soochow University from June 2020 to June 2021. Among them, 26 were males and 31 were females, with an average age of (7.5±2.3) years. Analyze the efficacy and adverse reactions of 1, 2, 4, 6, 9 and 12 months after LCM treatment. The starting dose of LCM was 2 mg/(kg·d); increased 2 mg/(kg·d) every seven days; and titrated up to 4 ~ 8 mg/(kg·d) in children with weight ≥30 kg and <50 kg; titrated up to 6 ~ 12 mg/(kg·d) in children with weight ≥11 kg and <30 kg.ResultThe total effective rate was 94.12%; the cumulative control rate after 12-month medication was 86.27%; and the retention rate was 89.47%. Those all showed a higher rate. ConclusionLCM is significantly effective to BECT with less adverse reactions and more safety. It has high clinical application value.

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  • Efficacy and safety of adjunctive perampanel in children with refractory epilepsy

    ObjectiveIn order to evaluate the efficacy, safety and tolerability of adjunctive perampanel in children with refractory epilepsy. MethodsThis study collected medical records of 34 children with refractory epilepsy, who were admitted to Children’s Hospital of Soochow University from January 2020 to January 2021. By comparing the baseline status with the status at 4, 8, 12, 24, 36, and 48 weeks of follow-up, the efficacy and adverse reactions of perampanel were evaluated. ResultsThe mean age of the patients treated with perampanel was 8.1±4.1 years. The male-to-female ratio was 1: 1. After the addition of perampanel, the average responder rate at the 4th, 8th, 12th, 24th, 36th, 48th weeks were 37.5%, 46.7%, 50.0%, 47.4%, 53.8%, 42.9%. The adverse events were reported by 32.4%, and the retention rate was 88.2%. ConclusionsPerampanel has good efficacy, safety and tolerability in the treatment of refractory epilepsy. Moreover, personalized treatment and better baseline seizure control may increase the effectiveness and retention rate of perampanel.

    Release date:2021-10-25 01:58 Export PDF Favorites Scan
  • Clinical Observation of Adjustable Negative Pressure Wound Therapy plus Regional Oxygen Therapy in the Treatment of Abdomen Incision Infection Wound

    目的 观察可调节负压引流技术联合局部氧疗治疗腹部切口感染创面的临床效果。 方法 对2009年5月-2012年9月28例腹部切口感染创面患者使用可调节负压引流技术联合局部氧疗治疗,创口内填入负压吸附垫,持续输氧0.5~1 L/min,可调节负压采用连续工作模式,使密闭创面保持60~120 mm Hg(1 mm Hg=0.133 kPa)的负压状态,3~7 d更换负压吸附垫和引流管。 结果 28例切口创面感染得到控制。8例经一次治疗创面愈合,15例经2~4次治疗创面愈合,2例行Ⅱ期缝合,3例患者对贴膜过敏,治疗一次后改为换药治疗。28例患者创面愈合时间4~28 d,平均14 d,随访1~18个月无切口裂开,7例有凹陷瘢痕,余瘢痕平整。 结论 可调节负压引流技术联合局部氧疗治疗腹部切口感染创面,具有操作简便、安全可靠、疗效明显的优点,可加快创面愈合,缩短住院时间,提高切口的愈合质量,减轻患者痛苦及医务人员的工作量。

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