Clinical effect of lamotrigine combined with small dose of valproic acid in the treatment of newly diagnosed epilepsy / 中国基层医药

ABSTRACT

Objective To explore the clinical effect of lamotrigine combined with small dose of valproic acid in the treatment of newly diagnosed epilepsy .Methods 90 patients with newly diagnosed epilepsy were selected ,and they were randomly divided into control group and observation group according to the digital table ,45 cases in each group.The control group was only given small dose valproic acid treatment ,the observation group was given lamotrigine based on the control group .The curative effect ,clinical indicators ,and the change of cognitive function were compared between two groups .Results The total effective rate of the control group was 82.22％,which was significantly lower than 91.11％of the observation group (χ2 =5.36,P<0.05).After treatment,the attack frequency,duration,the attack of epilepsy discharge,involving lead number of the control group were (1.29 ±0.55)times per year,(3.36 ± 0.63)min,(11.69 ±1.26)180s/time,(5.69 ±1.52)180s/time,which of the observation group were (0.51 ± 0.22)times per year,(2.09 ±1.02)min,(7.56 ±1.34)180s/time,(3.54 ±1.48)180s/time,the differences between the two groups were statistically significant (t=4.18,4.28,5.14,4.28,all P<0.05).Compared with before treatment,the MMSE,digit span along the back test B scores after treatment in the two groups were increased ,and the indicators of the observation group after treatment improved more significantly than those in the control group ( t=4.18,4.28,5.14,all P<0.05).Conclusion The therapeutic effect of lamotrigine combined with small dose of valproic acid in the treatment of newly diagnosed epilepsy is significant , which can reduce clinical indicators and improve cognitive function .