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目的对脑血管病继发癫痫的特征等进行研究,探讨脑血管病与继发癫痫之间的关系。方法回顾性分析我科2008年3月至2011年3月收治的56例脑血管病继发癫痫患者的临床资料。结果脑血管病继发癫痫的发病率为6.79%(56/825),脑出血组高于脑梗死组(P<0.05),早发性多于迟发性,发作类型以全身强直阵挛发作最多(42.9%),皮质病变继发癫痫者明显高于皮质下病变(P<0.05),药物治疗效果良好。结论继发性癫痫多见于脑血管病初期,其发病率与脑血管病的类型、病灶部位等有关。
Objective To study the characteristics of epilepsy secondary to cerebrovascular disease, and to explore the relationship between cerebrovascular disease and secondary epilepsy. Methods The clinical data of 56 patients with epilepsy secondary to cerebrovascular disease who were treated in our department from March 2008 to March 2011 were retrospectively analyzed. Results The incidence of secondary epilepsy was 6.79% (56/825) in patients with cerebrovascular disease, higher in cerebral hemorrhage group than in cerebral infarction group (P <0.05), more in early onset than in delayed onset. The type of seizure was general tonic. (42.9%), patients with epilepsy secondary to cortical lesions were significantly higher than those under subcortical lesions (P <0.05), and the drug treatment was effective. Conclusions Secondary epilepsy is more common in the early stage of cerebrovascular disease, its incidence is related to the type of cerebrovascular disease, lesion location and so on.