综合医院住院老年癫痫219例临床分析  

Clinical analysis of 219 senile resident epileptics in general hospital

作　　者：付学锋[1] 罗芸[1] 张新宇[1] 万东君[1] 裴文娟[1] 

机构地区：[1]兰州军区兰州总医院干三科,730050

出　　处：《中华保健医学杂志》2014年第5期353-355,共3页Chinese Journal of Health Care and Medicine

基　　金：全军保健专项课题(13BJ205)

摘　　要：目的探讨住院老年癫痫发作的临床特点、病因、治疗及预后。方法回顾性分析2007年1月~2012年11月在兰州军区兰州总医院住院的219例老年癫痫患者的临床资料。结果部分性发作125例（57.1%）,全面性发作72例（32.9%）,两种形式以上发病者16例（7.3%）,癫痫持续状态6例（2.7%）。常见的病因为脑血管病（39.7%）、颅内肿瘤（18.3%）、颅脑外伤（12.3%）、感染（12.3%）等。脑电图异常率46.8%,动态脑电图异常率71.8%。74.4%经药物治疗有效,16.4%无效,9.1%死亡。高龄是死亡的重要原因,年龄与病死率呈正相关。结论老年癫痫绝大多数为继发性癫痫,部分性发作比例高,病因明确。抗癫痫药物治疗效果好。Objective To investigate the clinical characteristics, etiology,treatment and prognosis of senile Resident Epileptics. Methods The clinical data of 219 senile resident epileptics in Lanzhou Military General Hospital from January 2007 to Novem-ber 2012 were retrospectively analyzed. Results Of the selected sample,5 cases suffered from partial seizure（57.1%）,72 cases from Generalized seizures（32.9%）,16 casesfrom both forms（7.3%） and 6 cases fromstatus epilepticus. The common causes include cere-brovascular disease（39.7%）,intracranial tumors（18.3%）,craniocerebral trauma（12.3%） and infection（12.3%）. The abnormal rates of EEG and 24 h EEG were 46.8% and 71.8% respectively. 188 cases（74.4%） were controlled effective with drug treatment,36 cases（16.4%） were ineffective and 20 patients（9.1%） died. Advance age was the important cause of death. Age was positively corre-lated with the death rate. Conclusion Themajority of senile epilepticssuffer from secondary epilepsy;partial seizures constitute a high proportion. The cause of disease is relatively clear and anti-epilepsy drugs have excellent therapeutic effects.

关 键 词：癫痫 病因 老年人 

分 类 号：R742.1[医药卫生—神经病学与精神病学]