癫痫患者出生与出生后的危险因素分析  

Analysis of the Birth and Postnatal Risk Factors in Epileptic Patients

作　　者：崔诚[1] 李章[1] 刘南华[1] 林楚卿[1] 毛应然[1] 陈建华[1] 

机构地区：[1]广东省汕头市第四人民医院,515000

出　　处：《神经疾病与精神卫生》2003年第2期97-98,共2页Journal of Neuroscience and Mental Health

基　　金：广东医学科研课题 (A1 998581 )

摘　　要：目的　调查癫痫患者在出生时与出生后的危险因素。方法　采用华盛顿癫痫心理社会问卷对 2 0 0例成年癫痫患者进行了调查 ,并与 2 0 0例正常人做了对照分析。结果　癫痫分类以全身性发作 134例 (6 7% ) ,16～ 30岁 12 0例 (6 0 % )。危险因素 :难产和产伤 (P <0 .0 5 ) ,新生儿黄疸 ,脑炎 /脑膜炎和高血压 (P <0 .0 5 ) ,发热惊厥和脑外伤 (P <0 .0 1)。家族高危因素有癫痫和偏头痛 (P <0 .0 1) ,精神病、脑中风和高血压 (P <0 .0 5 )。结论　癫痫患者出生时与出生后的危险因素与癫痫的发病密切相关。Objective To investigate the birth and postnatal risk factors in epileptic patients. Methods 200 cases adult epilepsy patients was investigated by Washington Psychosocial Seizure Investigate (WPSI) questionnaire and compared with 200 healthy persons. Results 134 cases (67%) were belongs to generalized seizures, 120 cases (60%) were 16～30 ages. The risk factors were as follows: difficult delivery and damage of childbirth (P<0.05); neonatal jaundice, cerebritis or meningitis and hypertension (P<0.05); hyperpyretic convulsion and brain trauma (P<0.01); The risk family factors included epilepsy and migraine (P<0.01), psychosis, stroke and hypertension (P<0.05). Conclusions The birth and postnatal risk factors are closely relate to the incidence of epilepsy.

关 键 词：癫痫 出生 出生后 危险因素 分析 预防 治疗 

分 类 号：R742.1[医药卫生—神经病学与精神病学]