论文部分内容阅读
目的了解湖南岳阳癫痫患病率及治疗缺口,为开展防治工作提供依据。方法采用多级整群随机抽样方法确定调查人群,运用WHO建议的癫痫流行病学专项调查问卷,采用国际统一的癫痫诊断标准,由经过统一培训的调查员入户调查,调查确诊或可疑为癫痫者均经神经科医师再次访查确诊。结果共调查32059人,确诊癫痫患者143例,癫痫患病率为4.5‰。男性患病率高于女性(P<0.05)。年龄组患病率分布存在20岁年龄组(8.4‰)和60岁年龄组(5.4‰)两个高峰。农村患病率明显高于城市(P<0.05)。继发全面性强直-阵挛发作占大多数(63.4%)。活动性癫痫的治疗缺口93.4%。结论湖南岳阳癫痫患病率农村地区较高、城市较低,患者中约有90%以上没有得到正确的治疗,应尽快制定合理的干预对策。
Objective To understand the prevalence and treatment gap of epilepsy in Yueyang of Hunan Province and provide the basis for prevention and treatment. Methods A multistage cluster random sampling method was used to determine the survey population. The questionnaire of epilepsy epidemiology proposed by the WHO was used. The international unified standard for diagnosis of epilepsy was used. Investigators who received unified training were investigated through household surveys. The patients were diagnosed as suspicious or epilepsy All were diagnosed again by neurologists. Results A total of 32059 people were surveyed, 143 cases were diagnosed epilepsy, the prevalence of epilepsy was 4.5 ‰. The prevalence of males was higher than that of females (P <0.05). Prevalence distribution in the age group There are two peaks in the 20-year-old group (8.4 ‰) and the 60-year-old group (5.4 ‰). The prevalence in rural areas was significantly higher than that in cities (P <0.05). Secondary tonic-clonic seizures accounted for the majority (63.4%). Active epilepsy treatment gap 93.4%. Conclusion The prevalence of epilepsy in Yueyang of Hunan Province is higher in rural areas and lower in urban areas. About 90% of patients are not treated correctly, and reasonable intervention measures should be formulated as soon as possible.