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目的检验我国农村地区开展人群干预管理后癫癎治疗缺口的变化,为进一步推广癫癎社区控制经验提供依据。方法 2004年 WHO 合作项目结束后6个月,在开展项目的5个省农村示范地区,采用与基线调查完全相同的方法和标准随机抽样调查该地区癫癎流行病学状况,并对两次调查结果进行比较,以了解示范区干预前后癫癎患者的治疗情况以及治疗缺口的改变。结果本次抽样调查5个农村人群共确诊癫癎患者320例,患病率为0.62%。其中活动性癫癎的患病率为0.45%。而基线调查时癫癎患病率和活动性癫癎的患病率分别为0.70%和0.46%。采用正规治疗的癫癎患者由2000年调查时的24.8%上升至39.1%。活动性癫癎的治疗缺口由基线调查时的62.6%下降为49.8%。结论农村地区的癫癎患者经过 WHO 示范项目的干预和管理,接受正规或合理治疗的比例明显提高;活动性癫癎的治疗缺口显著下降。从而证明本方案采用的干预对策适用于我国农村地区,并有很好的推广价值。
Objective To test the changes of the gap in the treatment of epilepsy after population intervention management in rural areas of our country and provide the basis for further popularizing the control experience of the epileptic community. Methods Six months after the conclusion of the WHO collaborative project in 2004, the epidemiological status of epilepsy in this area was investigated by random sampling method and standard in the same way as the baseline survey in 5 provinces and rural pilot areas in China. Two surveys The results were compared in order to understand the treatment of epileptic patients before and after the intervention in the demonstration zone as well as the change of treatment gap. Results The sample survey of 5 rural population were diagnosed epilepsy patients 320 cases, the prevalence was 0.62%. The prevalence of active epilepsy was 0.45%. The prevalence of epilepsy and active epilepsy at baseline was 0.70% and 0.46%, respectively. Epilepsy patients treated with formal treatment increased from 24.8% at the 2000 survey to 39.1%. The treatment gap for active epilepsy decreased from 62.6% at baseline to 49.8%. Conclusions The intervention and management of epileptic patients in rural areas through WHO demonstration projects have significantly increased the proportion of patients receiving formal or reasonable treatment, and the treatment gap of active epilepsy has dropped significantly. This proves that the intervention measures adopted in this program are applicable to rural areas in China and have good promotion value.