癫痫对女性患者健康及婚育的影响  

Impact of epilepsy on the health, marriage and childbearing of female patients

作　　者：方又昕[1] 洪震[1] 

机构地区：[1]复旦大学附属华山医院神经内科,上海200040

出　　处：《上海医药》2015年第9期21-24,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：女性癫痫患者具有特殊的生理心理特点及社会角色,需要临床医生特别关注。女性癫痫患者心理承受能力较男性弱,易并发抑郁焦虑。由于雌激素及孕激素对癫痫发作有不同影响,可导致癫痫发作在生理周期及妊娠期的变化,抗癫痫药物与女性激素也存在相互作用。女性癫痫患者存在结婚率低、婚姻中隐瞒病史、婚姻满意度差、离婚率高等婚姻问题。女性癫痫患者妊娠、生产及产后这一过程中,需注意孕前补充叶酸,制定合理的用药方案,监测发作情况及血药浓度,生产时作好应对发作准备,产后鼓励母乳喂养。Because of the special physiological and psychological characteristics and social roles, female patients with epilepsy need clinicians＇ special attention. Psychological endurance of female patients with epilepsy is weaker than that of men, so they are prone to be complicated with depression and anxiety. Since estrogen and progesterone have different effects on seizures, it can lead to the change of seizure frequency in menstrual cycles and pregnancy, and there are also interactions between antiepileptic drugs and female hormones. Female patients with epilepsy have some problems of marriage such as low marriage rate, concealing the history of epilepsy, poor marital satisfaction and high divorce rate. In the process of pregnancy, delivery and postpartum of female patients with epilepsy, attention should be paid to supplementing folic acid before pregnancy, developing a reasonable therapeutic regimen, monitoring seizure frequency and blood concentration of antiepileptic drugs, making preparations for dealing with seizure during delivery, and encouraging them breastfeeding.

关 键 词：癫痫 女性患者 妊娠 

分 类 号：R742.1[医药卫生—神经病学与精神病学]