阳信县农村癫痫患者患病危险因素分析  

Analysis of the risk factors of epilepsy in rural area in Yangxin county

作　　者：张东林 程学磊 李爱华 ZHANG Donglin;CHENG Xuelei;LI Aihua(Department of Neurology,Traditional Chinese Medical Hospital of Yangxin County,Binzhou (251800),Shandong,China)

机构地区：[1]阳信县中医院脑病科,山东阳信251800 [2]阳信县中医院重症医学科,山东阳信251800 [3]阳信县中医院妇产科,山东阳信251800

出　　处：《癫痫与神经电生理学杂志》2019年第1期30-32,共3页Journal of Epileptology and Electroneurophysiology(China)

摘　　要：目的:探讨阳信县农村癫痫患者患病的危险因素。方法:选取2015年9月至2017年12月就诊的癫痫患者189例作为观察组,制作调查问卷,待调查结束后整理数据。应用Excel表格进行数据录入,应用SPSS 23.0统计学软件分析癫痫危险因素。结果:结果显示围产期缺氧、热性惊厥病史、脑外伤、脑部手术史、癫痫家族史等是癫痫发病的危险因素。其危险因子(OR)值分别为16.052倍、18.325和5.365倍、3.256倍和3.354倍。围产期缺氧、高热惊厥病史、脑外伤、脑部手术史、癫痫家族史归因危险度分别是0.125、O.095、0.056、0.043和0.052。结论:围产期缺氧和热性惊厥是癫痫发病的重要危险因素,其中出生时缺血缺氧性脑损害是癫痫产生的重要原因,应密切注意。Objective:To investigate the risk factors of epilepsy in the rural area of China.Methods:189 patients with epilepsy in the rural areas of Yangxin County,Binzhou of Shandong Province, China were enrolled as the observation group.And the questionnaire was conducted by the investigators.Excel software was used for data entry and Spss 23.0 was used to analyze the risk factors of epilepsy.Results:The OR values of hypoxemia at birth,overheated convulsions,craniocerebral trauma, brain surgery and family epileptic history were 16.052,18.325,5.365,3.256 and 3.354 times respectively.The hypoxemia at birth,overheated convulsions,craniocerebral trauma,brain surgery and family epileptic history were 0.125,0.095,0.056,0.043 and 0.052,respectively.Conclusion:The hypoxemia at birth and overheated convulsions are important risk factors for epilepsy.The hypoxemia at birth should be paid attention to,and the prevention of hypoxemia attack should be strengthened so as to reduce the incidence of epilepsy in rural areas.

关 键 词：癫痫 危险因素 围产期缺氧 高热惊厥 

分 类 号：R742.1[医药卫生—神经病学与精神病学]