摘要
[目的]了解农村癫痫防治管理项目实施的效果。[方法]2012年5月,阳城县农村癫痫防治管理项目实施结束前1个月,对在访癫痫患者和家属进行调查,并与项目实施前(2007年7月)对同一人群同样内容的调查结果比较。[结果]调查苯巴比妥药物规范治疗的300例癫痫患者,年人均医疗费支出<600元者所占比例,管理期间为97.00%,管理前为25.67%(P<0.01);管理后各项癫痫认知和态度问题的正确率均较管理前明显提高(P<0.01)。癫痫发作时全身性抽搐、意识不清者所占比例和发作持续时间长者所占比例,管理前分别为94.33%、87.00%,管理治疗后分别为33.00%、11.33%(P<0.01);出现局部症状或先兆后意识丧失或全身抽搐者所占比例,日常工作正常者所占比例,生活满意者所占比例,管理前分别为41.33%、24.33%、33.00%,管理治疗后分别为63.00%、73.00%、93.00%(P<0.01)。管理期间治疗5、4、3年者的显效率分别为82.33%、73.68%、64.71%(P>0.05)。[结论]实施农村癫痫防治管理项目可提高癫痫患者对癫痫的认知水平,减轻医疗负担,癫痫发作症状明显好转。
[Objective]To understand the effect of implementing the rural epilepsy control management project. [Methods]In May, 2012, the last month of before the completion of the rural epilepsy control management project implemented, a survey was conducted among the visited epileptic patients and their families,and compared with the same population before the project (July 2007) on the same content. [Results]A total of 300 cases of epileptic patients with phenobarbital drug standard treatment were surveyed,the proportion of annual per capita medical treatment expenditure less than 600 yuan was 97.00 %, but before the management the proportion was 25.67 % ( P 〉0.01). The correct rate of epileptic cognition and attitude question significantly increased than before the management ( P 〉0.01). The proportions of the seizure with systemic convulsion,unconsciousness and epilepsy prolonged attack were 94.33 % and 87.00 %, however before the implementation of the project the proportions were 33.00 % and 11.33 % ( P 〈0.01). Before the managemet, the propor- tions of appearing local symptoms or aura symptoms then loss of consciousness or convulsion,normal daily work and life satisfaction respectively were 41.33%, 24. 33%, and 33.00%, after management the proportions were 63.00%, 73.00% and 93.00%( P 〈0.01). The significant efficiency for patients treated for 5 years, 4 years, 3 years was respectively 82.33 %, 73.680% and 64.71 % ( P 〈0.01), [Conclusion]Implementation of the rural epilepsy control management project can improve the cognitive level of epileptic patients with epilepsy, reduce the medical burden, and markedly improve epilep tic seizure symptom.
出处
《预防医学论坛》
2013年第5期344-345,350,共3页
Preventive Medicine Tribune
关键词
农村
癫痫
防治管理
效果评价
Rural
Epilepsy
Control management
Evaluation