论文部分内容阅读
目的 本文研究首次脑卒中后急性期癫发作的危险因素 ,以期预防和合理治疗 ,改善患者预后。方法 1997-0 1～ 2 0 0 0 -12共收治 960例首次脑卒中病人。分早期癫发作组和非发作组。两组在人口统计学、既往史、神经影象学及神经系统临床体征等方面用卡方检验对比。结果 2 0例病人 (2 1% )诊断有急性期癫发作。出血病人明显较缺血病人发作频繁。急性期癫发作的病人比非发作病人明显年轻且存在意识模糊状态、皮质受累、大面积梗死。结论 年轻患者、脑出血、大面积脑梗死、病灶累及皮质及急性意识模糊状态是首次脑卒中病人早期癫发作的危险因素。为了解首次脑卒中后急性期癫发作的危险因素 ,对我院 960例连续住院的首次脑卒中病人病情作了初步分析。
Objective To study the risk factors of acute epileptic seizures after the first stroke in order to prevent and rationalize the treatment and improve the prognosis of patients. Methods A total of 960 first stroke patients were enrolled in the methods 1997-0 1 ~ 2000 ~ 12. Divided early epileptic seizure group and non-seizure group. Two groups in the demographic, past history, neuroimaging and clinical signs and other aspects of the nervous system with chi-square test contrast. Results 20 patients (21%) diagnosed with acute epileptic seizures. Hemorrhagic patients were significantly more frequent episodes of ischemic patients. Patients with acute epileptic seizures were significantly younger and had a vague state of confusion than non-seizure patients, with cortical involvement and large infarcts. Conclusions Young patients, cerebral hemorrhage, large area cerebral infarction, focal cortex involvement and acute confusion are the risk factors of early epileptic onset in stroke patients. To understand the first post-stroke risk of acute epileptic seizures in our hospital 960 consecutive hospitalized patients with initial stroke patients made a preliminary analysis of the disease.