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目的探究对急性脑血管合并癫痫的患者进行治疗的措施及效果。方法选择58例急性脑血管病合并癫痫患者作为观察组,随机选取同时期未发生癫痫的急性脑血管病患者58例作为对照组。两组患者均给予常规脑血管病的基础治疗,在此基础上,观察组患者依据其出现癫痫的严重状况及类型制定癫痫治疗方案。比较两组患者的临床特点以及治疗疗效。结果观察组患者死亡率为5.2%,对照组患者死亡率为6.9%,两组患者死亡率比较差异无统计学意义(P>0.05);在进行治疗2周后,对照组患者神经功能缺损评分为(20.48±4.23)分,观察组患者为(37.58±5.74)分,观察组患者神经功能缺损评分显著高于对照组,差异有统计学意义(P<0.05)。结论急性脑血管病是导致癫痫发病的一个重要原因,及时有效的对患者进行抗癫痫的治疗能够有效缓解患者病情,同时改善患者的预后。
Objective To explore the treatment of acute cerebrovascular patients with epilepsy and its effects. Methods Fifty-eight patients with acute cerebrovascular disease complicated with epilepsy were selected as the observation group. Fifty-eight patients with acute cerebrovascular disease without epilepsy were randomly selected as the control group. Both groups were given basic treatment of conventional cerebrovascular disease. On this basis, patients in the observation group were given epilepsy treatment program according to their serious status and type of epilepsy. The clinical features and therapeutic efficacy of the two groups were compared. Results The mortality rate in the observation group was 5.2% and that in the control group was 6.9%. There was no significant difference in mortality between the two groups (P> 0.05). After 2 weeks of treatment, the neurological deficit score (20.48 ± 4.23) points, the observation group was (37.58 ± 5.74) points. The score of neurological deficit in the observation group was significantly higher than that of the control group (P <0.05). Conclusions Acute cerebrovascular disease is an important cause of epilepsy. The timely and effective treatment of patients with epilepsy can effectively relieve the patient’s condition and improve the prognosis of patients.