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目的探讨脑卒中后癫痫发作的临床特点及预防策略。方法选取我院收治的270例脑卒中患者,观察其继发癫痫的发病率、年龄、性别、卒中大小、卒中类型,癫痫的类型与卒中类型、卒中部位的关系,脑电图检查,并对其治疗、预防情况进行分析。结果脑卒中后癫痫发病率为10.7%。癫痫发作率在性别、年龄方面差异无统计学意义(P>0.05),在病灶大小方面差异有统计学意义(P<0.05)。脑卒中后癫痫患者中坚持服用小剂量艾司唑仑者癫痫再发生率与未坚持服用者之间差异有统计学意义(P<0.05)。结论脑卒中后癫痫的临床表现复杂,应用小剂量艾司唑仑对其发作有一定预防作用。
Objective To investigate the clinical characteristics and prevention strategies of seizures after stroke. Methods A total of 270 stroke patients admitted to our hospital were enrolled in this study. The incidence of secondary epilepsy, age, gender, stroke size, stroke type, type of epilepsy, stroke type, stroke location and EEG examination were observed. Its treatment, prevention analysis. Results The incidence of post-stroke epilepsy was 10.7%. There was no significant difference in seizure rate in gender and age (P> 0.05), and there was significant difference in the size of lesions (P <0.05). There was a statistically significant difference in the rate of reoccurrence of epilepsy between those who insisted on taking a small dose of eszolan and those who did not insist after stroke in patients with epilepsy (P <0.05). Conclusions The clinical manifestations of epilepsy after stroke are complicated. Estazolam in low dose may have a preventive effect on the onset of epilepsy.