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为探讨部分性发作癫痫患儿的合理治程,对1984年～1993年诊治随访的部分性发作癫癎患儿分两组观察。A、组118例,规则治疗至发作控制后3年停药;B组40例,于发作控制后6个月至1年即停药。两组均于停药后继续随访3年。A组复发率为26.3％,B组为85.0％,有非常显著差异(P<0.001);两组复发时间大多均在停药后2年内。EEG癫癎波消失多滞后于临床发作控制。结果提示儿童部分性发作癫癎的治程宜在发作控制后继续维持治疗3年以上。对EEG多次出现局灶性或弥漫性棘—慢综合波的患儿停药需谨慎,停药后继续随访十分重要。
To investigate the reasonable course of treatment of partial seizures in children with epilepsy, part of the seizures and epilepsy were followed up from 1984 to 1993 in two groups. A, 118 cases, the rule of treatment until the onset of control after 3 years of withdrawal; B group of 40 cases, 6 months after the onset of control to 1 year withdrawal. Both groups were followed up for 3 years after discontinuation. The recurrence rate was 26.3% in group A and 85.0% in group B, with significant difference (P <0.001). Most of the two groups had relapse within 2 years after discontinuation. EEG epilepsy disappeared more lag behind clinical seizure control. The results suggest that partial seizures in children with epilepsy should continue treatment for more than 3 years after the seizure control. Care should be taken to discontinue children with focal or diffuse spine-to-chronic multiple-echocardiographically occurring EEG, and it is important to continue follow-up after withdrawal.