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目的 分析川南地区癫痫患者的疾病类型分布,为癫痫的临床诊疗提供指导.方法 收集整理2014年8月至2017年7月在本院诊断明确的川南地区癫痫住院患者的完整病历,采用最新修订的癫痫疾病标准进行分类,并统计分析癫痫类型分布情况.结果 共纳入454例癫痫患者进行研究,男女比1.54∶1,年龄(39.38±22.38)岁.≤15岁共71例,＞15～40岁共139例,＞40～65岁共189例,＞65岁共55例.各年龄段患者均以全面源性癫痫为主,不同起源的患者均以运动性发作为主.局灶源性患者多以癫痫样痉挛发作为主且在≤15岁多见.全面源性患者多以强直-阵挛发作为主且多≤65岁.未知源性患者主要以癫痫样痉挛发作为主且多集中于＞ 15～65岁.结论 川南地区癫痫患者多为中老年人,全面源性患者最多,不同起源的癫痫在各年龄段患者均以运动性发作为主且疾病类型分布不同,强直-阵挛发作、癫痫样痉挛发作为最主要的两种类型.“,”Objective To analyze the distribution of disease types of the epilepsy patients in southern Sichuan,and to provide guidances for the clinical diagnosis and treatment of epilepsy.Methods The complete medical records of inpatients with epilepsy in southern Sichuan who were clearly diagnosed in the Affiliated Hospital of Southwest Medical University from August 2014 to July 2017 were collected and sorted,and classified according to the latest revision of the epilepsy disease standard of the International AntiEpilepsy Alliance in 2017,and the distribution of disease types of these patients were statistically analyzed.Results A total of 454 patients with epilepsy were included in the study,with a male to female ratio of 1.54∶ 1,and the average age is (39.38 ±22.38) years.There were 71 patients under 15 years old,139 cases from 15 years old to 40 years old,189 cases from 41 years old to 65 years old,and 55 cases from over 65 years old.The patients in all ages were mainly classified as generalized onset,and the patients with different origins were mainly motor seizures.The focal onset were most common in the patients with epileptiform spasm from 40 days to 14 years old.The patients of generalized onset were mostly tonic-clonic seizures and under 65 years old.And the patients of unknown onset were mainly concentrated in 15-65 years old and mainly epileptic spasms.Conclusions Most of the patients with epilepsy in southern Sichuan are middle-aged and elderly,and the patients of all ages of different origins are mainly motor seizure,and the distribution of disease types of these patients are different.Moreover,the tonic-clonic seizure and epileptiform spasm are the most common types in these patients.