吉林省一家综合医院新诊断成人癫痫患者现状调查

Investigation on the status of newly diagnosed adult epilepsy in the General Hospitals of Jilin Province

目的调查吉林省一家综合医院新诊断成人癫痫患者的自然现状,为开展地区癫痫防治工作提供依据。方法收集2016年10月-2017年2月就诊于吉林大学第一医院癫痫专病门诊新诊断的成人癫痫患者的自然资料及病史资料,并治疗随访6个月,进行统计学分析。结果新诊断成人癫痫患者81例,男:女=1.4:1;首次治疗时病程平均45.8个月,中位数18个月73例(90.1%)为局灶性起源,长程视频脑电图检查阳性率达91.3%;病因不明占69.1%;12例(14.8%)患者头部核磁共振检查提示海马硬化;48例(59.3%)患者有轻度认知功能下降;30例(37%)患者治疗依从性差。结论吉林大学第一医院新诊断成人癫痫患者多为局灶性起源,首次治疗均延迟,半数以上患者有轻度认知功能的下降,且治疗依从性差。

Objective To investigate the status of newly diagnosed adult epilepsy in the General Hospital of Jilin Province, in order to improve the prevention and treatment of epilepsy. Methods To collect the clinical data of newly diagnosed adult epilepsy from October 2016 to February 2017,and to follow up 6months. Results A total of 81 patients were included. At the last clinic visit, 73 cases origined from focal,74 cases were positive in EEG examination, 56 cases were unknown etiology, 12 cases had hippocampal sclerosis,48 cases were mildly declined cognitive function,and 30 cases were poor compliance.Conclusion The newly diagnosed epilepsy were focal origin, delayed treatment, mildly declined cognitive function and poor compliance.