大脑半球萎缩继发癫痫患者术后生活状况分析

The analysis of postoperative living condition in cerebral hemisphere atrophy epilepsy patients

目的研究大脑半球萎缩继发癫痫患者手术后生活状况改善情况。方法对2010年3月至2013年12月手术治疗的12例大脑半球萎缩继发癫痫患者手术前后的生活质量、精神症状、日常生活能力比较并进行追踪随访,应用患者生存质量专用量表(QOLIE-31)、精神症状自评量表(SCL-90)、和日常生活能力量表(ADL)测评,并进行统计学分析。结果 12例患者术后随访13~44个月,平均随访时间中位值18.6±5.3月,7例患者无癫痫发作,达到Engle's I级,5例患者Engle'sⅡ级。生活质量、精神症状、日常生活能力方面均有明显改善,与术前各项指标行统计学对照比较(P<0.05)。结论大脑半球萎缩继发癫痫患者应及早手术治疗,术后不但能够良好的控制癫痫发作,还能全面提升患者生活质量、精神症状、日常生活能力。

Objective To analysis the living condition improve efficacy of postoperative patients for hemispheric atrophy secondary epilepsy. Method To track follow-up evaluation, and statistical analysis from March 2010 to December 2013 in twelve cases of surgical treatment of cerebral hemisphere atrophy secondary epilepsy to the quality of life before and after surgery in patients with psychiatric symptoms, activities of daily living scale application- specific quality of life of patients （ QOLIE-31 ） , psychiatric symptoms since checklist （ SCL-90 ） , and the ADL （ activities of daily living, ADL ）. Results Twelve patients with postoperative follow-up of thirteen to forty-four months, the mean duration of follow-up of the median value of 18.6 ± 5.3 months, 7 patients without epilepsy, achieve Engle＇s grade Ⅰ, Engle＇s Ⅱ level 5 patients. Quality of life, psychiatric symptoms, activities of daily living areas were significantly improved compared with the control line statistical indicators before surgery. A number of indicators confirm that the difference were statistically significant （ P〈0.05 ） .Conclusion Cerebral hemisphere atrophy secondary to epilepsy patients should be treated early operation. The postoperative pafients of epilepsy secondary to cerebral hemisphere atrophy, not only control of seizures free, but also improve the quality of life of patients with psychiatric symptoms, activities of daily living significantly.