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目的 :了解上海农村地区癫患病率和治疗缺口 ,为开展癫治疗和管理工作提供依据。方法 :以二阶段整群抽样法抽取金山区吕巷镇的 5个村作为调查点 ,实际调查 10 777人。癫病例经初筛及神经科医生复查后确诊。结果 :确诊癫为 65例 ,终生患病率 6 0 3‰ ( 95 %CI :5 5 8‰～ 6 48‰ )。活动性癫为 41例 ,患病率为 3 80‰ ( 95 %CI :2 64‰～ 4 96‰ )。活动性癫的治疗缺口为70 73 % ( 95 %CI:5 6 80 %～ 84 66% )。癫患者平均年龄为 ( 4 4 66± 18 73 )岁 ,首次发病的平均年龄为 ( 2 6 2 8± 18 71)岁 ,首发年龄在 3 0岁之前的患者占 61 5 4%。癫的发作类型以全身强直 阵挛性发作为主 ,占 5 8 46%。结论 :农村地区癫患病率高于以往的调查结果 ,应重视对农村儿童和青年期癫的治疗和管理。
Objective: To understand the prevalence and treatment gap of epilepsy in rural areas of Shanghai, and to provide basis for the treatment and management of epilepsy. Methods: Two groups of Lvxiang Town in Jinshan District were selected as the survey sites by two-stage cluster sampling method, and 10 777 people were actually surveyed. Epileptic cases were diagnosed after initial screening and neurologists review. Results: 65 cases were diagnosed epilepsy with a lifetime prevalence of 6 0 3% (95% CI: 588-668%). Active epilepsy in 41 cases, the prevalence rate of 3 80 ‰ (95% CI: 2 64 ‰ ~ 4 96 ‰). The treatment gap for active epilepsy was 70 73% (95% CI: 56 80% -84 66%). The average age of patients with epilepsy was (4466 ± 1873) years old, the mean age of first onset was (2682 ± 1871) years old, and the first onset age was 40% of the patients before the age of 30 years. Epilepsy seizures type to systemic tonic clonic seizures, accounting for 5846%. Conclusion: The prevalence of epilepsy in rural areas is higher than the previous findings, and the treatment and management of rural children and adolescent epilepsy should be emphasized.