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本文报告应用迷走神经刺激法治疗药物难治性部分发作性癫痫病人,对两组14例进行了单盲前瞻研究。 方法:应用一个埋入式神经控制修复器(NCP),包括一脉冲发生器,埋置于胸部皮下,类似于心脏起搏器;一双极刺激铅电极,置于胸锁乳突肌前皮下的左侧迷走神经附近;一程序软件,将刺激参数的变化及脉冲器联系起来。发生器依程序传递间断刺激,另外,病人或观察者应用外来磁场激发发生器,可产生额外的脉冲刺激。病例选择一年以上的癫痫病史,年龄在15～58岁,一直坚持服用抗癫痫药而每月发作超过6次,发作间期小于两周的病人。
This article reports the application of vagus nerve stimulation in the treatment of refractory patients with partial epilepsy, 14 patients in both groups were single-blind prospective study. Methods: A buried neural controlled prosthesis (NCP) was applied including a pulse generator embedded in the skin of the chest similar to a pacemaker; a bipolar stimulation lead electrode placed subcutaneously in the anterior skin of the sternocleidomastoid muscle Near the left vagus nerve; a program software that correlates the stimulus parameters with the pulsator. The generator delivers intermittent stimulation according to the procedure. In addition, the patient or observer uses an external magnetic field to excite the generator to generate additional pulse stimulation. Case history of epilepsy more than one year, aged 15 to 58 years old, has always insisted on taking antiepileptic drugs and more than 6 episodes per month, the attack interval of less than two weeks of patients.