癫癎及癫癎综合征国际分类(1989年)的临床应用分析

The syndromic classification of the International League Against Epilepsy (1989): a clinical application study

目的探讨各类癫和癫综合征在就诊人群中的分布,以利于癫患者的诊治。方法按国际抗癫联盟(ILAE)1989年推荐的癫和癫综合征的分类方案对门诊患者进行调查。结果1191例患者中,部分性癫和综合征766例(64·3%),全面性癫和综合征240例(20·2%),不能确定为部分性或全面性的癫及综合征79例(6·7%),特殊综合征16例(1·3%),其他非癫疾患90例(7·6%)。在部分性癫和综合征中,症状性者占了绝大多数,而全面性癫和综合征中,特发性者占绝大多数。结论正确地进行癫分类对临床有重要的指导意义,各种癫综合征的分布是有规律可循的。

Objective To determine the distribution of various epilepsies and epileptic syndromes in the epileptic population treated in epilepsy clinics. Methods Totally 1191 patients with seizures visited between April and September, 2004 in epilepsy center of our hospital were analyzed based on International League Against Epilepsy (1989, ILAE) Classification. Results Of the 1191 cases, partial epilepsies and syndromes were 766 cases (64.3%), generalized epilepsies and syndromes were 240 cases (20.2%), epilepsies and syndromes undetermined whether partial or generalized were 79 cases (6.7%), special syndromes were 16 cases(1.3%),other non-epileptic disorders were 90 cases (7.6%). Symptomatic cases were dominant in partial epilepsies and syndromes, and idiopathic cases were dominant in generalized epilepsies and syndromes. Conclusions Most of epileptic patients might be classified accurately. Treatment should be administered as earlier as possible. The distribution of various epilepsies and epileptic syndromes is regular.