[Monitoring of the Blood Concentrations of Antiepileptic Drugs (TDM)].

Yoichi Kawasaki, Toshiaki Sendo
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Abstract

The incidence of epilepsy is high in infants/children and elderly persons. Patients with epilepsy account for approximately 1% of the population. This chronic cerebral disorder is characterized by repeated epileptic seizures related to excessive excitation of the brain, and it is important to reduce such seizures in life. Therapeutic drug monitoring (TDM) is useful for evaluating the treatment response and checking for adverse effects. When interpreting the results of measurement of the blood concentrations of antiepileptic drugs, the duplication of various factors must be understood. In this article, matters that clinical technologists face in routine work are presented/arranged so that the results of TDM may be adequately interpreted. In 270% of patients with epilepsy, as a nervous disease, seizures may be reduced by administering adequate therapy with antiepileptic drugs; the response rate is high. If measurements deviate from the reference range, clini- cal technologists should utilize their specialized knowledge and adequately evaluate the values obtained, con- tributing to drug therapy. [Review].

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抗癫痫药物(TDM)血药浓度监测。
癫痫在婴儿/儿童和老年人中的发病率很高。癫痫患者约占人口的1%。这种慢性脑部疾病的特点是与大脑过度兴奋有关的反复癫痫发作,在生活中减少这种癫痫发作很重要。治疗药物监测(TDM)对于评估治疗反应和检查不良反应是有用的。在解释抗癫痫药物血药浓度测量结果时,必须了解各种因素的重复。本文介绍/整理临床技术人员在日常工作中所面临的问题,以便充分解释TDM的结果。在270%的癫痫患者中,作为一种神经疾病,癫痫发作可以通过给予适当的抗癫痫药物治疗而减少;响应率很高。如果测量值偏离参考范围,临床技术人员应利用其专业知识并充分评估所获得的值,有助于药物治疗。(审查)。
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