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目的探讨中年人脑卒中后继发部分性癫痫的原因及诊治效果。方法回顾性分析我院2010年1月-2013年1月收治的75例脑卒中后继发部分性癫痫中年患者的临床资料进行,总结发病原因,采取病因治疗与癫痫药物治疗的方式,比较早发性脑卒中继发部分性癫痫与迟发性脑卒中继发部分性癫痫的发生率及治疗效果。结果早发性发生率与迟发性发生率有统计学差异(P<0.05);经治疗,早发性患者有效率91.30%,迟发性患者有效率94.23%,组间差异无统计学意义(P>0.05)。结论脑卒中属于继发癫痫的主要原因,癫痫作为脑血管病变的早期表现,其脑电图的阳性率较高,脑皮质病灶明显多于深部病灶。
Objective To investigate the causes and diagnosis and treatment of secondary partial epilepsy after middle-aged stroke. Methods The clinical data of 75 middle-aged patients with secondary partial epilepsy after stroke treated in our hospital from January 2010 to January 2013 were retrospectively analyzed. The causes of the disease were summarized, and the treatment of etiology and epilepsy were taken. Incidence and therapeutic effect of partial partial epilepsy secondary to partial stroke and delayed stroke in patients with stroke. Results The incidence of early-onset and late-onset was significantly different (P <0.05). After treatment, the effective rate was 91.30% in early-onset patients and 94.23% in late-onset patients, with no significant difference between the two groups (P> 0.05). Conclusions Stroke is the main cause of secondary epilepsy. Epilepsy is an early manifestation of cerebrovascular disease with a higher positive rate of EEG and more cerebral cortex lesions than deep lesions.