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目的探讨急性脑血管病与继发性癫痫的关系。方法对一组988例急性脑血管病例作回顾性总结分析。结果出血性卒中病例中继发癫痫发作占5.91%;缺血性卒中病例中继发癫痫发作占6.29%;有癫痫发作的患者4周死亡9例,占12.85%,非癫痫组病例中癫痫发作占3.81%。两组比较差异有显著性,P<0.01。结论急性脑血管病是老年人继发性癫痫的重要原因之一,癫痫发生率与病变部位有明显的关系,癫痫发作对预后有严重影响,其死亡率显著高于非癫痫组。
Objective To explore the relationship between acute cerebrovascular disease and secondary epilepsy. Methods A total of 988 cases of acute cerebrovascular disease were retrospectively analyzed. Results The incidence of seizures was 5.91% in hemorrhagic stroke patients, 6.29% in seizures in ischemic stroke cases, 9 cases (12.85%) in 4 weeks in seizures patients, seizures in non-epileptic patients Accounting for 3.81%. There was significant difference between the two groups, P <0.01. Conclusions Acute cerebrovascular disease is one of the important causes of secondary epilepsy in the elderly. The incidence of epilepsy is significantly related to the lesion site. Seizures have a serious impact on the prognosis, and the mortality rate is significantly higher than that of the non-epileptic group.