2000例癫痫病例的发作分类研究

Classification Study of Epileptic Seizure of 2000 Patients

目的:对2000例癫痫病例进行发作分类研究,规范我国的发作分类诊断,以利于癫痫病人的诊治。方法:按中华医学会第一届全国癫痫学术会议拟订的发作分类统计。结果:依据临床+脑电图可分类达到97.35％;全面性发作占78.95％;其中强直-阵孪性发作占68.85％;肌阵挛性发作占2.8％;强直性发作占0.5％;失神性发作占6.8％;部分性发作占18.4％;其中单纯部分性发作占2.15％;复杂部分性发作占4.75％;单纯部分性继发全面性发作占1％;复杂部分性继发全面性发作占105％;不能分类达2.65％。结论:判断癫痈发作分类须详细分析综合各项资料。中华医学会1985年第一届全国癫痫学术会议拟订的发作分类,与1981年国际防治癫痫联盟建议的发作分类基本相似。稍简化后,符合我国国情,用于我国癫痫分类,可起到规范作用,利于癫痫病人的治疗。

Objective: To make a classification study of 2000 epileptic seizure patients for standardizing the classification diag-nosis and improving treatment. Methods: Analysis was made according to epileptic seizure classification criteria approved by the Ist Chinese Epile Seminar, Chinese Medical Board. Results: According to clinical characteristics and electroen-cephalogram, EEG positive diagnosis rate arrived 97.35% ; generalized seizure arrived 78. 95% , amohg that, the percentage of tonic -clonic seizure was 68.85% , that of myoclonic seizure was 2.8% , tonic seizure was 0.5% , absence seizure was 6.8% ; Partial seizure arrived 18.4% , among that, the percentage of simple partial seizure was 2.15% , that of complex partial seizure was 4.75% , simple partial evolved to generalized seizures was 1% , complex partial evolved to generalized seizure was 10.5% ; Unclassification seizure arrived 2.65%. Conclusions: The classification of epileptic seizure needs analyzing all the data in de-tail. Seizure classification of the 1st Chinese Epileptic Seminar, Chinese Medical Board(1985) was as similar as the proposal of the International Epileptic Prevention and Treatment Union(1981). After a little simplification, the classification could be used in our country for the diagnostic Standard.