缺血性脑卒中后癫痫临床特点及相关危险因素分析  

Analysis of Clinical Features and Related Risk Factors of Epilepsy after Ischemic Stroke

作　　者：张亮 ZHANG Liang(Department of Internal Medicine,Gaotang County Hospital of Traditional Chinese Medicine,Liaocheng,Shandong Province,252800 China)

机构地区：[1]高唐县中医院内科,山东聊城252800

出　　处：《系统医学》2020年第20期62-64,共3页Systems Medicine

摘　　要：目的分析患者缺血性脑卒中后癫痫发作的临床特点及相关危险因素。方法回顾性分析该院2017年2月—2019年6月收治的200例缺血性脑卒中患者作为研究对象,病例资料均为首次发病患者,其中癫痫组患者16例,非癫痫组患者184例。分析两组癫痫发作原因与相关的危险因素。结果该次研究中的研究病历资料中缺血性脑卒中后出现癫痫患者为16例,总有发作发生率为8.00%;在患者出现卒中后1~7 d出现癫痫情况的患者为5例,占卒中后癫痫患者的31.25%。卒中后30~180 d出现癫痫情况的患者为7例,占卒中后癫痫患者的43.75%;同时经SSS评分(斯堪的纳维亚卒中量表)进行神经功能缺损评分发现,得分小于30分的缺血性卒中患者出现癫痫发作的可能性较高,且对于缺血性卒中患者出现癫痫较大的危险因素是迟发性癫痫发作。结论通过数据分析可知,患者出现缺血性卒中后7 d内与30~160 d两个阶段最容易出现首次癫痫症状,而SSS评分低于30分或者出现皮质梗死情况的患者更加容易出现癫痫发作的情况,同时有迟发性癫痫发作的患者出现癫痫反复的可能性更加高。Objective To analyze the clinical characteristics and related risk factors of epileptic seizures after ischemic stroke.Methods A retrospective analysis of 200 patients with ischemic stroke admitted to the hospital as the research object.The case data were all patients with first onset.The patient data was selected from February 2017 to June 2019,including 16 patients in the epilepsy group.There were 184 patients in the non-epilepsy group.Analyze the causes of seizures and related risk factors in the two groups.Results In this study,there were 16 patients with epilepsy after ischemic stroke,the total incidence of seizures was 8.00%;the patients appeared 1-7 days after the stroke;5 patients with epilepsy,accounting for 31.25%of post-stroke epilepsy patients.There were 7 patients with epilepsy 30 to 180 days after stroke,accounting for 43.75%of patients with post-stroke epilepsy;at the same time,it was found by SSS(Scandinavian Stroke Scale)that the score was less than patients with an ischemic stroke with a score of 30 were more likely to have seizures,and the greater risk factor for seizures in patients with ischemic stroke was delayed seizures.Conclusion According to data analysis,patients were most likely to have first epileptic symptoms within 7 days and 30-160 days after ischemic stroke,while patients with SSS scores below 30 or cortical infarction were more likely to have seizures.At the same time,patients with delayed seizures were more likely to have recurrent epilepsy.

关 键 词：迟发性癫痫 缺血性脑卒中 卒中后癫痫 危险因素分析 继发性癫痫 

分 类 号：R742.1[医药卫生—神经病学与精神病学] R743.3[医药卫生—临床医学]