老年人脑卒中后继发癫痫的临床特点分析

朱雷; 王训; 刘程桃; 孙悦; 胡燕杰; 刘言言; 邱菊; 高宗良

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

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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