老年癫痫124例临床研究

Clinical study on 124 cases of elderly epilepsy

目的:探讨老年癫痫病的临床特点及治疗方法。方法:2013年1月-2014年8月收治老年癫痫患者124例,作为临床研究对象,根据病因将患者分为原发性癫痫组32例和继发性癫痫组92例。给予两组患者抗癫痫药物单药治疗,比较两组患者的治疗效果。结果:原发性癫痫组治疗总有效率78.13%,继发性癫痫组治疗总有效率89.13%,继发性癫痫组治疗效果明显优于原发性癫痫组,差异具有统计学意义(P<0.05)。结论:继发性癫痫是老年癫痫的主要发病类型,同时由于病因明确,因此在给予抗癫痫药物单药治疗时取得的治疗效果更好。

Objective:To explore the clinical characteristics and treatment methods of elderly epilepsy.Methods:124 patients with elderly epilepsy were selected from January 2013 to August 2014.As the clinical study objects,the patients were divided into the primary epilepsy group in 32 cases and the secondary epilepsy group in 92 cases according to the etiology.The patients in two groups were given antiepileptic drug monotherapy.The treatment effects of two groups were compared.Results:The treatment total effective rate of the primary epilepsy group was 78.13%,and the treatment total effective rate of the secondary epilepsy group was 89.13%.The treatment effect of the secondary epilepsy group was much better than that of the primary epilepsy group,and the difference was statistically significant(P<0.05).Conclusion:Secondary epilepsy is the main disease type of elderly epilepsy,at the same time as the etiology is definite,so the treatment effect is better when giving antiepileptic drug monotherapy.