宁夏农村地区癫痫防治和管理模式探讨  

Mode of Management and Prevention and Cure on Epilepsy Among Rural Population in Ningxia

作　　者：陈桂生[1] 戴秀英[2] 杜彦辉[1] 张庆[1] 马斌武[1] 王颖丽[2] 张学平[2] 孔繁元[2] 

机构地区：[1]宁夏医学院附属医院神经内科,银川750004 [2]宁夏医学院,银川750004

出　　处：《宁夏医学院学报》2007年第6期601-602,F0004,共3页Journal of Ningxia Medical College

基　　金：WHO和卫生部疾病控制司;国际合作司资助

摘　　要：目的建立宁夏农村地区癫痫的防治和管理有效模式,并逐步向其它农村地区推广。方法采取整群抽样方法,选择宁夏农村地区140个乡,共计378.6万人群。通过对县、乡、村医生的专业培训,筛选惊厥性癫痫患者,采用苯巴比妥单药免费治疗,分别在第3、6、9和12个月对其疗效进行评估。结果培训了172名县、乡、村医生。确诊为惊厥性癫痫患者2907例。治疗效果:79%发作次数明显减少,59%发作终止,副作用随疗程的延长而减少。结论宁夏农村地区癫痫的防治和管理模式是有显著成效的,该防治管理模式对常见、多发慢性疾病在中国农村地区防治管理值得借鉴。苯巴比妥单药治疗惊厥性癫痫发作,疗效肯定,副作用少、价廉、方便,适合在农村贫困地区广泛应用和推广。Objective To set up mode of management, prevention and cure on epilepsy among rural population in NingXia by primary medical care system, then extend toward others rural regions.Methods Doctors in county, countryside and villege level were trained how to screen,diagnose,prevention and treat epilepsy among 140 countrysides and 3,786 thousand rural populations in Ningxia.cluster sampling was adopted to screen convulsibility epileptics, to freely treat with PB. Results 172 doctors was trained. 2907 patients with convulsibility epileptics were diagnosed.78% seizures was obviously decreased.59% seizures was ended.Conclusion Mode of management,prevention and cure on epilepsy among rural is effective in populations of NingXia. it is worth to make use of management, prevention and cure on many chronic diseases among rural areas in china. Curative effect of PB is positive and has few side effects.It is cheap and convenient for application and extention among rural regions.

关 键 词：农村 惊厥性癫痫 苯巴比妥 防治 管理 宁夏 

分 类 号：R742.1[医药卫生—神经病学与精神病学]