老年人脑卒中后继发癫痫的临床特点分析  

Analysis of clinical characteristics of secondary epilepsy in the elderly after stroke

作　　者：朱雷[1] 王训[1] 刘程桃 孙悦[1] 胡燕杰[1] 刘言言[1] 邱菊[1] 高宗良[1] 

机构地区：[1]安徽医科大学第二附属医院神经内科,安徽合肥230601

出　　处：《蚌埠医学院学报》2017年第5期625-627,共3页Journal of Bengbu Medical College

基　　金：安徽医科大学科研基金项目(2012xkj070)

摘　　要：目的:探讨老年人脑卒中后继发癫痫的临床特点。方法:将89例脑卒中后继发癫痫病人分为老年组(≥65岁)、非老年组(<65岁),对其临床资料进行回顾性对照分析。结果:老年组中迟发性癫痫的发病率、脑梗死后癫痫的发病率、部分性癫痫发病率和多脑叶发病率分别为76.2%、81.0%、50.0%和61.9%,均高于非老年组的27.7%、55.3%、22.3%和38.3%(P<0.05~P<0.01)。老年组中,全面性发作是癫痫复发的危险因素(P<0.05)。结论:老年人脑卒中后,应注意预防迟发性癫痫和部分性癫痫发作;出现癫痫发作的病人积极药物干预可以减少复发的可能。Objective：To investigate the clinical features of secondary epilepsy in elderly after stroke.Methods：Eighty-nine elder patients with secondary epilepsy after stroke were divided into the elder group（age ≥65 years old） and non-elder group（age 〈65 years old）.The clinical data in all patients were retrospectively analyzed.Results：The incidence rates of tardy epilepsy,post-infarction epilepsy,partial seizure and multiple brain epilepsy in elder group（76.2%,81.0%,50.0% and 61.9%） were higher than those in non-elder group（27.7%,55.3%,22.3% and 38.3%）,respectively（P〈0.05 to P〈0.01）.The generalized seizure was the risk factor of epilepsy recurrence in elder group（P〈0.05）.Conclusions：The tardy epilepsy and partial seizure should be prevented in the elderly after shock.The drug intervention in patients with generalized seizure can decrease the recurrence of epilepsy.

关 键 词：癫痫 脑卒中 老年人 临床特点 

分 类 号：R742.1[医药卫生—神经病学与精神病学]