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脑卒中后癫痫的临床特征及预后分析 被引量:3

Clinical features and prognosis of epilepsy after stroke
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摘要 目的 探讨脑卒中后癫痫的临床特征以及预后,为今后脑血管病防治提供一定的理论依据.方法 选取2012年6月至2014年6月神经内科80例脑卒中后继发癫痫患者为研究对象,对其发作的时间与各种相关性因素进行分析,总结二者之间的关系.结果 早发性癫痫8例(10.0%),迟发性癫痫72例(90.0%);皮层病灶继发癫痫65例(81.3%),皮层下继发癫痫15例(18.7%);出血性脑卒中继发癫痫18例,缺血性脑卒中继发癫痫16例,出血性脑卒中继发癫痫与缺血性脑卒中继发癫痫比较差异有统计学意义(P<0.05).结论 脑卒中患者易发生迟发性癫痫,皮层病灶更加容易发生癫痫.与其他类型相比,出血性脑卒中患者更加容易发生癫痫症状.神经功能康复对抗脑卒中继发癫痫效果良好. Objective To investigate the clinical features and prognosis of epilepsy after stroke,and to provide theoretical basis for the prevention and treatment of cardiovascular disease in the future.Methods From June 2012 to June 2014,80 cases of epilepsy after stroke were selected in this study,the onset time and relevant factors were analyzed,and the correlation between them were summarized.Results Early-onset epilepsy in 8 patients (10.0%),72 cases of late-onset epilepsy (90.0%);the number of skin lesions epilepsy was 65 cases(81.3%),the number of subcortical epilepsy was 15 cases (18.7%);hemorrhagic stroke and epilepsy in 18 cases,epilepsy patients with ischemic stroke in 16 cases,the differences were significant(P 〈 0.05).Conclusions Stroke patients are prone to have late epilepsy,skin lesions are more prone to have epilepsy.Compared with other types,hemorrhagic stroke patients are more prone to have seizures.The effect of neurological function rehabilitation on stroke epilepsy patients is better.
出处 《中国实用医刊》 2016年第18期26-27,共2页 Chinese Journal of Practical Medicine
关键词 脑卒中 癫痫 神经功能 Stroke Epilepsy Neural function
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