697例癫痫患者临床特征分析  

Analysis on the Clinical Features of 697 Patients with Epilepsy

作　　者：张彦妹[1] 王瑞荣[1] 郑乃智[1] 

机构地区：[1]青岛市市立医院,青岛市266011

出　　处：《中国病案》2017年第9期94-96,共3页Chinese Medical Record

基　　金：青岛市科技局基金项目(05Kzd-28)

摘　　要：目的分析青岛市某三级医院近年来癫痫门诊就诊患者的临床特征,为做好癫痫的防治工作提供科学依据。方法收集整理2006年-2012年门诊癫痫患者697例,对其临床特征进行统计分析。结果 697例癫痫患者中,男性387例,占55.5%,女性310例,占44.5%,男女之比为1.25:1;年龄在2岁~85岁之间,平均32.81±9.92岁,男性平均31.90±9.76岁,女性平均32.89±10.08岁,男女患者的平均年龄无统计学差异;癫痫发病年龄段集中在11岁~30岁,共334例,占47.9%;男女在80岁后发病减少;所有发作类型中全身强直阵挛发作最多,共计319例,占45.8%,其次是不能分类型和混合型发作型分别为200例和106例,各占28.7%和15.2%,部分性发作型和失神发作型分别为70例和2例,各占10%和0.3%。结论就诊癫痫患者逐年增多,治疗间隙缩小,防治重点应关注青少年群体,做到早期预防、早期诊断、早期规范治疗。老年癫痫患者以卒中后癫痫多见,加强卒中防治对减少癫痫发病具有重要意义。Objectives To analyze the clinical characteristics of patients with epilepsy in a three grade hospital in Qingdao, and provide scientific basis for the prevention and treatment of epilepsy. Methods 697 patients with epilepsy from 2006 to 2012 were collected, their clinical features were analyzed. Results Among the 697 patients with epilepsy, 55.5% of the patients were male, 44.5% were female, and the ratio of male and female was 1.25 ： 1. Between the ages of 2 and 85, with an average of （32.81 ± 9.92） years old, the average male was （31.90 ± 9.76） years old, the average female was （32.89 ±10.08） years old, and the average age difference between male and female was not statistically significant. The age of epilepsy was between 11 and 30 years old, with 334 cases accounting for 47.9%. The incidence of male and female decreased after age 80 years old; Generalized tonic clonic seizure （GTCS）, a total of 319 cases （45.8%）, followed by unclassified （US） and mixed-type seizure （MS） 200 and 106, 28.7% and 15.2%, partial seizure （PS） and absence seizure （AS） 70 and 2, 10.0% and 0.3% respectively. Conclusions The number of patients with epilepsy go to hospital was increasing year by year, the gap of treatment was narrowed, the prevention and control should focus on the youth group, and the early prevention, early diagnosis and early standard treatment should be done. Most of the elderly epilepsy patients were post stroke epilepsy, it was important to strengthen the prevention and control of stroke to reduce the incidence of epilepsy.

关 键 词：癫痫 临床特征 统计分析 

分 类 号：R742.1[医药卫生—神经病学与精神病学]