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目的:分析脑卒中后癫痫的临床特点、治疗方法和治疗效果。方法:选取我院2009年2月—2012年3月期间收治的脑卒中后癫痫患者51例为观察对象,对采取的治疗方法和患者的临床特点以及治疗效果进行回顾分析,总结经验,提高临床医疗水平,保证患者健康。结果:本组资料中,脑卒中后癫痫的发生率为5.31%;其中,早发性35例,占68.63%,迟发性16例,占31.37%;脑卒中后继发癫痫蛛网膜下腔出血的发生率最高,卒中累及皮质的发生率高,明显高于皮质下的发生率。结论:脑卒中后继发癫痫早发性比较常见,其发作与卒中类型及病灶部位相关;在出血性脑卒中,位于皮质继发癫痫的发生率较皮质下高,应在治疗脑卒中的基础上,积极控制癫痫的发作。
Objective: To analyze the clinical features, treatment and treatment of post-stroke epilepsy. Methods: Fifty-one patients with post-stroke epilepsy who were treated in our hospital from February 2009 to March 2012 were selected as the observation objects. The treatment methods, the clinical features and the therapeutic effects of the patients were retrospectively analyzed, and the experiences were summarized to improve the clinical Medical level, to ensure patient health. Results: The incidence of post-stroke epilepsy in this group was 5.31%. Among them, 35 cases were early-onset (68.63%), late-onset 16 cases (31.37%), epileptic subarachnoid hemorrhage after stroke The highest incidence of stroke involving the incidence of cortical high, significantly higher than the incidence of subcortical. Conclusions: Early onset of epilepsy after stroke is more common and its onset is related to stroke type and lesion site. In hemorrhagic stroke, the incidence of secondary epilepsy in cortex is higher than that of cortex, and should be based on the treatment of stroke , Actively control the onset of epilepsy.