朱雷, 王训, 刘程桃, 孙悦, 胡燕杰, 刘言言, 邱菊, 高宗良. 老年人脑卒中后继发癫痫的临床特点分析[J]. 蚌埠医学院学报, 2017, 42(5): 625-627. DOI: 10.13898/j.cnki.issn.1000-2200.2017.05.019
    引用本文: 朱雷, 王训, 刘程桃, 孙悦, 胡燕杰, 刘言言, 邱菊, 高宗良. 老年人脑卒中后继发癫痫的临床特点分析[J]. 蚌埠医学院学报, 2017, 42(5): 625-627. DOI: 10.13898/j.cnki.issn.1000-2200.2017.05.019
    ZHU Lei, WANG Xun, LIU Cheng-tao, SUN Yue, HU Yan-jie, LIU Yan-yan, QIU Ju, GAO Zong-liang. Analysis of clinical characteristics of secondary epilepsy in the elderly after stroke[J]. Journal of Bengbu Medical College, 2017, 42(5): 625-627. DOI: 10.13898/j.cnki.issn.1000-2200.2017.05.019
    Citation: ZHU Lei, WANG Xun, LIU Cheng-tao, SUN Yue, HU Yan-jie, LIU Yan-yan, QIU Ju, GAO Zong-liang. Analysis of clinical characteristics of secondary epilepsy in the elderly after stroke[J]. Journal of Bengbu Medical College, 2017, 42(5): 625-627. DOI: 10.13898/j.cnki.issn.1000-2200.2017.05.019

    老年人脑卒中后继发癫痫的临床特点分析

    Analysis of clinical characteristics of secondary epilepsy in the elderly after stroke

    • 摘要: 目的:探讨老年人脑卒中后继发癫痫的临床特点。方法:将89例脑卒中后继发癫痫病人分为老年组(≥65岁)、非老年组(<65岁),对其临床资料进行回顾性对照分析。结果:老年组中迟发性癫痫的发病率、脑梗死后癫痫的发病率、部分性癫痫发病率和多脑叶发病率分别为76.2%、81.0%、50.0%和 61.9%,均高于非老年组的27.7%、55.3%、22.3%和38.3%(P< 0.05~P< 0.01)。老年组中,全面性发作是癫痫复发的危险因素(P< 0.05)。结论:老年人脑卒中后,应注意预防迟发性癫痫和部分性癫痫发作;出现癫痫发作的病人积极药物干预可以减少复发的可能。

       

      Abstract: Objective: To investigate the clinical features of secondary epilepsy in elderly after stroke.Methods: Eighty-nine elder patients with secondary epilepsy after stroke were divided into the elder group(age ≥65 years old) and non-elder group(age <65 years old).The clinical data in all patients were retrospectively analyzed.Results: The incidence rates of tardy epilepsy,post-infarction epilepsy,partial seizure and multiple brain epilepsy in elder group(76.2%,81.0%,50.0% and 61.9%) were higher than those in non-elder group(27.7%,55.3%,22.3% and 38.3%),respectively(P<0.05 to P< 0.01).The generalized seizure was the risk factor of epilepsy recurrence in elder group(P<0.05).Conclusions: The tardy epilepsy and partial seizure should be prevented in the elderly after shock.The drug intervention in patients with generalized seizure can decrease the recurrence of epilepsy.

       

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