62例脑梗死迟发性癫痫发作的研究

Research delayed epilepsy of cerebral infarction on the outbreak of 62 cases

目的 :研究迟发性癫痫对脑梗死恢复期神经功能康复的影响。方法 :将 62例脑梗死恢复期迟发性癫痫患者分为轻、中、重三组 ,进行发病后 15d～ 3 0d神经功能康复的临床观察。结果 :与对照组对比 ,迟发性癫痫发作对神经功能缺损为中度和重度患者的神经功能康复有明显不利影响 (P <0 .0 1) ,神经功能缺损越重 ,影响程度越大。结论 :为预防迟发性癫痫发作 ,利于神经功能恢复 ,必须立即开始正规抗癫痫治疗。

Objective: To inquire the effects of delayed epilepsy on the neurofunction rehabilitation during the recovery stage of cerebral infarction.Methods:62 cases of delayed epilepsy during the recovery stage of cerebral infarction were divided into three groups:the simpleness,middle,and serious group according to the neurofunction deficit at the early recovery stage.All the patients have been observed on the neurofunction rehabilitation between half month to onemonth.Results:Compared with control group,it was found that the delayed epileptic attack was harmful to neurofunction rehabilitation in patients with middle and serious neurofunction deficit originally(P<0.01).The more neurofunction deficit,the more harmful.Conclusion: Regular antiepilepsy medication should be given the patients for neurofunction rehabilitation.