摘要
目的探讨脑卒中后癫痫的临床特点和发病机制。方法采用流行病学分析方法,对本院642例脑卒中患者的临床资料进行回顾性分析。结果本研究中,脑卒中后癫痫的发生率为7.63%(49/642),男性发生率7.20%(29/403),女性发生率8.36%(20/239)。发作类型以单纯部分发作多见(55.10%)。卒中早期癫痫的发生率为69.39%,晚期发生率为30.61%。病灶位于皮层者继发性癫痫的发生率与皮层下病灶者继发性癫痫的发生率,两者差异有统计学意义(P<0.05)。缺血性卒中继发癫痫占全部缺血性卒中的7.12%(27/379),出血性卒中继发癫痫占全部出血性卒中的6.84%(18/263),差异无统计学意义(P>0.05)。结论脑卒中是老年人癫痫发作的最常见原因,卒中后癫痫的发生率与病灶部位有关,皮质病灶较易发生癫痫。治疗时要根据患者的具体情况制定诊疗计划,以期获得更好的疗效。
Objective To investigate the clinical features of epilepsy after stroke and pathogenesis.Methods The epidemiological analysis of 642 cases of hospital stroke patients were retrospectively analyzed.Results In this study,the incidence of epilepsy after stroke was 7.63% (49/642) of male rate 7.20% (29/403),female incidence of 8.36% (20/239).Simple partial seizure,seizure types to more common (55.10%).The occurrence of early seizures after stroke was 69.39%,30.61% incidence of late.Cortical lesions were located in the incidence of secondary epilepsy and subcortical lesions on the incidence of secondary epilepsy,the difference was statistically significant (P0.05).Ischemic stroke epilepsy of the total ischemic stroke 7.12% (27/379),hemorrhagic stroke epilepsy accounted for 6.84% of hemorrhagic stroke (18/263),the difference was not statistically significant (P0.05).Conclusion Stroke is the older of the most common cause of epilepsy,the incidence of epilepsy after stroke and lesion location is related to cortical lesions prone to epilepsy.Treatment,according to the specific situation of patients develop treatment plans to achieve a better effect.
出处
《中外医疗》
2011年第2期9-9,11,共2页
China & Foreign Medical Treatment
关键词
脑卒中
癫痫
临床研究
stroke
epilepsy
clinical study