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目的探讨脑血管病继发癫痫患者的临床治疗手段。方法对我院2009年2月～2012年2月住青岛市城阳区人民医院的共56例脑血管病继发癫痫患者进行总结性分析。结果有四种分类,其中22例占36.32%,为单纯部分性发作;25例占44.83%,为复杂部分性发作;5例占9.97%,由单纯部分性发作转为强直阵挛性发作;4例占8.71%,为癫痫持续状态。其中包括两种治疗方法,即迅速控制癫痫发作和积极治疗原发病,第一种病情发生的情况下,注射地西泮,如果无效,可以第二次注入;如果得以控制,注射苯巴比妥钠;如果频繁发作,注射地西泮和葡萄糖或者苯妥英钠和生理盐水混合液。第二种病情为预防并发症、降低颅内压等等。结论癫痫作为脑血管病的一种较为常见并发症,应该早期发现、早期治疗,更有助于患者控制病情的发展。
Objective To investigate the clinical treatment of patients with epilepsy secondary to cerebrovascular disease. Methods A total of 56 patients with epilepsy secondary to cerebrovascular disease who lived in Chengyang People’s Hospital of Qingdao City from February 2009 to February 2012 were analyzed retrospectively. The results of four categories, of which 22 cases accounted for 36.32%, a simple partial seizures; 25 cases accounted for 44.83%, a complex partial seizures; 5 cases accounted for 9.97%, from a partial partial seizure to tonic clonic seizures; 4 cases accounted for 8.71%, for status epilepticus. Including two treatment methods, namely the rapid control of seizures and aggressive treatment of primary disease, the first case of the incidence of cases, the injection of diazepam, if invalid, can be a second injection; if controlled, injection of phenobarbital Sodium; if the attack frequently, the injection of diazepam and glucose or phenytoin and saline mixture. The second condition is to prevent complications, reduce intracranial pressure and so on. Conclusion Epilepsy as a more common complication of cerebrovascular disease should be early detection and early treatment, but also help patients control the development of the disease.