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目的了解各级医院临床医师对癫痫持续状态的诊治现状及各级医师对这一疾病的认识水平,以期更好地指导以后的临床教育工作。方法 2014年8月—2015年8月采用问卷调查的形式进行研究,分别就医院的现况、癫痫持续状态的诊断及临床实际处理方式设计问卷,调查对象为四川大学华西医院神经重症及神经内科进修医师及癫痫学习班学员。对问卷结果进行统计分析。结果共发放问卷90份,全部问卷回收,有效问卷90份。调查对象中神经内科、神经外科、重症监护病房、其他科室医师分别为42人(46.7%)、6人(6.7%)、30人(33.3%)、12人(13.3%);来自三级甲等、三级乙等、二级甲等医院的医师分别为27人(30.0%)、31人(34.4%)、32人(35.6%)。三级医院均具备脑电监测条件,而53.1%的二级甲等医院具备脑电监测条件。不同医院收治癫痫持续状态患者从0.5%~10.0%不等。另外,在惊厥性癫痫持续状态的识别及处理等较专业的问题上,不同医院的医生有较大的差异。结论癫痫持续状态是常见急症,问卷调查是一种有效的调查手段,能够反映不同级别医院及科室认识及处理的差距,从而指导专科教育工作,使得各级医师更准确识别、处理这一急症。
Objective To understand the diagnosis and treatment of status epilepticus at all levels and clinicians at all levels to understand the level of this disease so as to better guide future clinical education. Methods From August 2014 to August 2015, questionnaires were used to study the questionnaires. The questionnaires were designed based on the current status of the hospital, the diagnosis of the status epilepticus and the actual treatment of epilepsy. The questionnaires were collected from the Department of Neurology, Critical Care and Neurology, West China Hospital of Sichuan University Training physicians and epilepsy classes students. Statistical analysis of the questionnaire results. Results A total of 90 questionnaires were distributed, all the questionnaires were collected and 90 valid questionnaires were available. The neurology, neurosurgery and intensive care units in the survey were 42 (46.7%), 6 (6.7%), 30 (33.3%) and 12 (13.3% , Grade B, Grade A and Grade A hospitals were 27 (30.0%), 31 (34.4%) and 32 (35.6%) respectively. Third-tier hospitals have EEG monitoring conditions, and 53.1% of the two first-class hospitals have EEG monitoring conditions. Patients with status epilepticus in different hospitals ranged from 0.5% to 10.0%. In addition, in the convulsive status of epilepsy identification and treatment of more professional issues, different hospitals, doctors have greater differences. Conclusions Persistent status of epilepsy is a common emergency. Questionnaire is an effective means of investigation. It can reflect the differences between hospitals and departments at different levels and guide them in special education so that doctors at all levels can identify and deal with this emergency more accurately.