摘要
卒中后癫痫指卒中前无癫痫病史,在排除脑部结构异常和其他代谢性病变等原因,卒中后一定时间内出现的癫痫发作。被认为是老年人最常见的症状性癫痫和神经科难治性疾病。中医归属于“痫证”范畴,现有的常用治疗手段是口服抗癫痫药,大多数患者的临床发作可控制,但价格贵,药物不良反应较多,影响患者预后及生活质量。中医药治疗副作用较少,且疗效稳定,近年来逐渐运用到卒中后癫痫的治疗中。作者阅读近年来国内发表的相关文献,归纳中医药治疗卒中后癫痫的疗效及其作用机制进展情况,挖掘中医药治疗卒中后癫痫依据,为临床治疗提供参考。
Post-stroke epilepsy refers to epileptic seizures that occur within a certain period of time after stroke without a history of epilepsy before stroke and exclusion of abnormal brain structure and other metabolic diseases.It is considered to be the most common symptomatic epilepsy and neurological refractory disease in the elderly.Traditional Chinese medicine belongs to the category of “epilepsy syndrome”.The current common treatment method is oral antiepileptic drugs.The clinical seizures of most patients can be controlled,but they are expensive and have many adverse drug reactions,which affect the prognosis and quality of life of patients.Traditional Chinese medicine treatment has fewer side effects and stable efficacy,and has been gradually used in the treatment of post-stroke epilepsy in recent years.The author reads the relevant literature published in China in recent years,summarizes the efficacy of traditional Chinese medicine in the treatment of post-stroke epilepsy and the progress of its mechanism of action,and excavates the evidence for the treatment of post-stroke epilepsy by traditional Chinese medicine,in order to provide a reference for clinical treatment.
作者
韩慧
王颖
吉丽
马超
张琳
崔立红
邵淑娟
HAN Hui;WANG Ying;JI Li;MA Chao;ZAHNG Lin;CUI Lihong;SHAO Shujuan(Beichen Traditional Chinese Medicine Hospital Affiliated of Tianjin University of Traditional Chinese Medicine,Tianjin 300400,China)
出处
《中医药临床杂志》
2022年第11期2201-2205,共5页
Clinical Journal of Traditional Chinese Medicine
基金
国家中医药管理局“十二五”重点专科培育项目
天津市中医药管理局中医中西医结合科研项目(NO.2021124)
天津市北辰区科技计划项目(NO.SHGY-2020052)
全国中医药创新骨干人才培训项目(国中医药办人教函<2019>91号)。
关键词
卒中后癫痫
痫证
中医药
治疗
综述
Epilepsy after stroke
Epilepsy syndrome
Traditional Chinese medicine
Treatment
Review
