脑血管病合并癫痫的临床分型、治疗和长期预后影响因素的研究

The clinical cent type,treatment of cerebral disease merger epilepsy and prepare the research of impact factor behind over a long period of time

目的通过对已发生的脑血管病患者的资料进行专科定位定性,预测可能发生的癫痫几率和类型,以提高对继发于脑血管病的癫痫的预见性和预后的判断,降低脑血管病的死亡率、致残率,提高疗效及改善预后。方法对988例急性脑血管病患者做回顾性分析,综合入选患者的各种病历资料,尽可能区别病理灶与致痫灶,从而研究预测其可能出现的部位、发作类型及预后。结果出血性卒中继发性癫痫发病率为5.91%,缺血性卒中继发癫痫发病率为6.29%;4周内癫痫发作患者死亡率为12.85%,非癫痫发作患者死亡率为3.81%,有显著性差异(P<0.01)。结论癫痫发生率与病变部位和类型有明显关系,对患者预后有严重影响,其死亡率显著高于非继发性癫痫患者。

Objective Carry on specialty fixed position to settle sex through the data to cerebral patient＇s that has al- ready taken place, the estimate may take place of epilepsy several rates and type with raise to after hair in the foreseeing of ep- ilepsy of the cerebral disease sex and prepare behind of judgment, lower the death rate of cerebral disease, to remnants rate, after raising curative effect and improvement to prepare. Methods 988 impatient cerebral patient data, synthesize various medical history data of selecting the sufferer, distinguish pathologic cooking stove possibly with to Xian cooking stove, thus re- search predict the part that it probably appears and go into action a type and prepare behind. Results Bleed sex the soldier win to lead to 5.91% after the hair epilepsy outbreak and lack guts the soldier win after hair the epilepsy outbreak lead to 6. 29% ; 4 with in the week the epilepsy go into action a sufferer the death rate is 12. 85%, non - epilepsy＇s going into action a sufferer death rate is 3.81%, has already shown Zhao difference. （ P 〈 0.01 ）. Conclusion Epilepsy incidence rate and pathological changes part and type have obvious relation, have after preparing to the sufferer serious influence, its death rate＇s showing Zhao is higher than not after hair epilepsy sufferer.