摘要
【摘要】目的 探讨卒中后癫痫患者的临床特点以及抗癫痫药物的治疗转归情况。方法 选取我院在 2017年 2月～ 2018年 2月期间共收治的 60例后卒中后癫痫患者作为研究对象，根据患者卒中后首次癫痫发作的时间分为早发癫痫及晚发癫痫，分别为 25例与 35例。对两组患者癫痫发作临床特点以及临床药物治疗转归情况进行分析与分析。结果 早发癫痫组患者部分性发作 13例，全面强直阵挛发作 12例；晚发癫痫组分别为 9例与 26例。且早发癫痫组治疗有效率为 92.0%，明显高于晚发癫痫组患者的 60.0%，差异具有统计学意义（ P<0.05）。结论 临床医师需要加强对卒中后癫痫患者的密切观察，警惕痫性的发作及反复发作，对于再次发作的患者可以考虑 AEDs的长期规律治疗，避免诱因。
【关键词】卒中；癫痫；临床特点；抗癫痫药物；治疗转归
[Abstract] Objective To explore the clinical characteristics of epilepsy patients after stroke and the treatment outcome of antiepileptic drugs. Methods 60 patients with post-stroke epilepsy admitted in our hospital from February 2017 to February 2018 were selected as the study objects. According to the time of the first seizure after stroke, the patients were divided into early epilepsy and late epilepsy, 25 cases and 35 cases respectively. The clinical characteristics of epilepsy and the outcome of clinical drug treatment were analyzed. Results there were 13 partial seizures and 12 complete tonic clonic seizures in the early epilepsy group and 9 and 26 in the late epilepsy group, respectively. The effective rate of early epilepsy group was 92.0%, which was significantly higher than that of late epilepsy group (60.0%) (P < 0.05). Conclusion clinicians need to strengthen the close observation of patients with epilepsy after stroke, and be alert to epileptic seizures and recurrent seizures. For patients with recurrent seizures, long-term regular treatment of AEDs can be considered to avoid incentives.
出版日期
2020年08月11日（中国期刊网平台首次上网日期，不代表论文的发表时间）
