卡马西平治疗三叉神经痛的安全性和有效性:生物医学中的荟萃分析。

IF 2.6 4区 工程技术 Q1 Mathematics Mathematical Biosciences and Engineering Pub Date : 2024-03-07 DOI:10.3934/mbe.2024235
M Guo, W Shen, M Zhou, Y Song, J Liu, W Xiong, Y Gao
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引用次数: 0

摘要

三叉神经痛是一种以面部剧烈疼痛为特征的衰弱性疾病。卡马西平已被广泛用作三叉神经痛的一线治疗方案,但仍需根据现有证据对其安全性和有效性进行评估。本荟萃分析旨在对现有文献进行系统评估,全面评价卡马西平治疗三叉神经痛的安全性和有效性。通过对电子数据库的全面检索,共有 15 项相关研究符合纳入标准。对这些研究的汇总分析表明,卡马西平在降低三叉神经痛患者的疼痛强度和频率方面具有显著疗效。此外,该药物的耐受性普遍良好,最常见的不良反应是轻微和短暂的。基于不同剂量和疗程的亚组分析进一步证实了总体研究结果。不过,对于患有某些合并症的患者或特定人群应谨慎用药,因为有报道称存在一些罕见但严重的不良反应。总之,这项荟萃分析提供了有力的证据,支持卡马西平的安全性和有效性,是治疗三叉神经痛的重要治疗选择。这些结果可以指导临床医生就卡马西平的使用做出明智的决定,并有助于优化三叉神经痛患者的治疗策略。我们还需要进一步研究卡马西平的长期安全性和疗效,并将其与其他治疗方法进行比较。
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Safety and efficacy of carbamazepine in the treatment of trigeminal neuralgia: A metanalysis in biomedicine.

Trigeminal neuralgia is a debilitating condition characterized by severe facial pain. Carbamazepine has been widely used as a first-line treatment option for trigeminal neuralgia, but there is a need to evaluate its safety and efficacy based on existing evidence. This meta-analysis aims to systematically assess the available literature and provide a comprehensive evaluation of the safety and efficacy of carbamazepine in the treatment of trigeminal neuralgia. A thorough search of electronic databases yielded a total of 15 relevant studies that met the inclusion criteria. The pooled analysis of these studies revealed that carbamazepine demonstrated significant efficacy in reducing pain intensity and frequency in patients with trigeminal neuralgia. Moreover, the drug was generally well-tolerated, with the most common adverse events being mild and transient. Subgroup analyses based on different dosages and treatment durations further supported the overall findings. However, caution should be exercised in patients with certain comorbidities or specific populations, as some rare but severe adverse events were reported. In conclusion, this meta-analysis provides strong evidence supporting the safety and efficacy of carbamazepine as a valuable therapeutic option for the management of trigeminal neuralgia. These results can guide clinicians in making informed decisions regarding the use of carbamazepine and contribute to optimizing treatment strategies for patients with trigeminal neuralgia. Further research is warranted to explore long-term safety and efficacy outcomes, as well as to compare carbamazepine with alternative treatment modalities.

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来源期刊
Mathematical Biosciences and Engineering
Mathematical Biosciences and Engineering 工程技术-数学跨学科应用
CiteScore
3.90
自引率
7.70%
发文量
586
审稿时长
>12 weeks
期刊介绍: Mathematical Biosciences and Engineering (MBE) is an interdisciplinary Open Access journal promoting cutting-edge research, technology transfer and knowledge translation about complex data and information processing. MBE publishes Research articles (long and original research); Communications (short and novel research); Expository papers; Technology Transfer and Knowledge Translation reports (description of new technologies and products); Announcements and Industrial Progress and News (announcements and even advertisement, including major conferences).
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