分析脑卒中后继发性癫痫的临床诊治
王立崚;钟志强;刘建勋;吴尉;王铁燕
【期刊名称】《医学信息》 【年(卷),期】2015(000)016
【摘要】Objective To study the clinical analysis of treatment of epilepsy after stroke.Methods In our hospital from 2012 to 2014 a total of 68 cases of brain stroke secondary epilepsy into treatment, we car ied out the at ack site,time,types of records of patients.Results In 68 cases of patients with impaired patients with secondary epilepsy after stroke position display:30.9%to 13.2%lobes, basal ganglia;36.8%involved in the cerebral cortex, 19.1%of the brain cortex. The dif erence was statistical y significant, <0.05. The relationship between time and type of stroke in patients with epilepsy:stroke secondary epilepsy patients the incidence of early onset than delayed occur ence rate is higher than the ischemic, hemor hagic higher;epilepsy display time and type of stroke, epilepsy: stroke secondary epilepsy onset was higher than late onset, hemor hagic stroke is higher than ischemic stroke;early onset often limitations and generalized tonic clonic seizure at ack movement, late onset was often
localized
motor
seizures,
with
statistical
dif
erence,
<0.05.Conclusion Discover the stroke epilepsy patients, and to provide prevention and treatment of patients, and can avoid the damage of nerve cel s, reduce the clinical disability rate, improve the prognosis of
patients.%目的:研究分析脑卒中继发癫痫患者的临床治疗方式。方法2012年~2014年我院共有68例脑卒中继发性癫痫化作接受治疗,我们对患者进行了其发作部位、时间、类型的记录。结果68例脑卒中后继发性癫痫患者受损部位显示院30.9%为脑叶,13.2%为基底节区;36.8%累及大脑皮层,19.1%为大脑皮质下差异具有统计学意义,<0.05。患者癫痫发作时间和卒中类型的关系院脑卒中继发性癫痫患者的发病率早发型比迟发型发生率要高一些,出血性比缺血性要高一些;癫痫发作时间与卒中类型、癫痫形式显示院脑卒中导致继发性癫痫早发型发生率高于迟发型,出血性脑卒中高于缺血性脑卒中;早发型常为局限性运动发作与全身强直阵挛发作,迟发型常为局限性运动发作,具有统计学差异,<0.05。结论及时发现脑卒中继发性癫痫患者的病情,提供针对性的预防治疗,能够避免患者的神经细胞受损,减少临床致残率,改善患者的预后效果。
【总页数】1页(151-151)
【关键词】脑卒中;继发性癫痫;临床诊治 【作者】王立崚;钟志强;刘建勋;吴尉;王铁燕
【作者单位】大庆油田总医院,黑龙江 大庆 163000;大庆油田总医院,黑龙江 大庆 163000;大庆油田总医院,黑龙江 大庆 163000;大庆油田总医院,黑龙江 大庆 163000;大庆油田总医院,黑龙江 大庆 163000 【正文语种】中文 【中图分类】 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_medical-
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