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目的分析脑血管病继发癫痫临床特点。方法回顾性分析35例脑血管病继发癫痫患者的临床资料,观察其临床特点。结果本组35例患者,经CT或MRI确诊,脑出血、脑梗死所占比重分别为60.00%(21/35)、34.29%(12/35),均高于蛛网膜下腔出血的5.71%(2/35)。部分性发作所占比例为60.00%(21/35),高于全面性发作的40.00%(14/35);早发性所占比例为68.57%(24/35),高于迟发性的31.43%(11/35);伴有偏瘫所占比例为71.43%(25/35),高于未伴偏瘫的28.57%(10/35)。脑血管病继发癫痫患者经针对性治疗,治疗总有效率为97.14%(34/35),仅1例死亡,随访1年,复发率为2.94%(1/34),满意度为(98.6±1.2)分。结论脑血管病继发癫痫患者临床特点各异,通过及时、有效治疗,可改善患者临床症状,提高其生活质量,利于其早日康复。
Objective To analyze the clinical features of secondary epilepsy with cerebrovascular disease. Methods The clinical data of 35 patients with secondary epilepsy with cerebrovascular disease were retrospectively analyzed. The clinical features were observed. Results The 35 patients were diagnosed by CT or MRI. The proportion of cerebral hemorrhage and cerebral infarction were 60.00% (21/35) and 34.29% (12/35), respectively, which were higher than those of subarachnoid hemorrhage (5.71% (2/35). The proportion of partial seizures was 60.00% (21/35), higher than that of generalized seizures (40.00%, 14/35). The proportion of early seizures was 68.57% (24/35), higher than late onset 31.43% (11/35). The proportion of patients with hemiplegia was 71.43% (25/35), which was higher than 28.57% (10/35) without hemiplegia. The total effective rate was 97.14% (34/35) in patients with epilepsy secondary to cerebrovascular disease and only 1 patient died. The follow-up was 1 year, the recurrence rate was 2.94% (1/34) and the satisfaction rate was (98.6 ± 1.2) points. Conclusions The clinical features of patients with epilepsy secondary to cerebrovascular disease are different. Through timely and effective treatment, the clinical symptoms and the quality of life of the patients can be improved, which will benefit their early recovery.