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目的研究并分析糖尿病性癫痫的临床特点、发病机制和治疗对策。方法选取本院收治的40例糖尿病性癫痫患者,结合文献对患者的临床资料进行分析。结果糖尿病性癫痫在糖尿病及隐性糖尿病的中老年人群中较为好发,局限性运动发作和全面性发作持续状态为其主要发作形式,抗癫痫药治疗不起作用,对血糖进行控制可终止其发作。结论糖尿病性癫痫的发作和血糖升高有密切的联系,临床医生要特别考虑无明确糖尿病史的中老年癫痫患者患有本病的可能,并给予及时的治疗。
Objective To study and analyze the clinical features, pathogenesis and treatment of diabetic epilepsy. Methods Forty patients with diabetic epilepsy admitted to our hospital were selected, and the clinical data of the patients were analyzed according to the literature. Results Diabetic epilepsy was more frequent in the middle-aged and elderly patients with diabetes mellitus and recessive diabetes. The limitations of locomotor activity and generalized seizure persistence were the main seizure forms. Antiepileptic drug treatment did not play a role. The control of blood glucose could terminate attack. Conclusion The onset of diabetic epilepsy is closely linked with the rise of blood sugar. Clinicians should give special consideration to the possibility of suffering from this disease in middle-aged and elderly people with epilepsy without a definite history of diabetes mellitus, and give timely treatment.