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目的：探讨研究丙戊酸钠治疗老年脑卒中后癫痫的临床疗效。方法将符合标准的51例老年脑卒中患者的临床资料，随机分成观察组(26例)和对照组(25例)，对照组患者给予苯妥英钠片进行治疗，观察组给予丙戊酸钠片进行治疗。结果观察组患者的显效率为38.5%，显著性高于对照组的12.0%(P<0.05)。观察组患者词语流畅性测试的重复与数字广度测试中的顺背与倒背与治疗前相比，存在显著性差异；与对照组治疗后相比，同样存在显著性差异。结论丙戊酸钠是治疗老年脑卒中后癫痫的一种有效药物，具有有效地控制病情，减轻患者症状以及提高患者生活质量的显著效果，值得临床进行推广并进一步深入研究。“,”Objective To investigate the clinical ef icacy study of valproate treatment of elderly patients after stroke epilepsy.Methods The clinical data of 51 cases meet the criteria elderly stroke patients were randomly divided into observation group (26 cases) and control group (25 cases) and control group were treated with phenytoin sodium tablets for treatment,observation group were given sodium valproate tablets treatment.Results The groups were ef ective rate 38.5%, 12.0%higher than that of a significant ( <0.05).Conclusion After valproate is an ef ective drug for the treatment of elderly stroke epilepsy,patients with significant ef ects,worthy of promotion and further study.