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目的 :探讨性发作后常见症状的临床特征及其在性发作鉴别诊断中的作用。方法 :分析了 67例癫患者和 3 6例非性发作 (non epilepticseizure ,NES)患者发作后症状。结果 :3 5例癫患者 (5 2 2 % )和 2例NES患者 (5 6% )有发作后头痛 (P <0 0 0 1) ;17例癫患者 (5 9 4% )和 6例NES患者 (16 7% )有发作后疲劳 (P <0 0 0 1)。发作后的意识模糊等症状在性发作和NES患者之间差异无显著性。在所研究的病例中 ,所有癫患者至少有一次发作后症状 ,而 2 1例非癫患者 (5 8 3 % )在所研究的时期内未见发作后症状 (P =0 0 0 1)。结论 :发作后头痛和疲劳有助于性发作的鉴别诊断 ,临床诊断为NES而有发作后头痛和疲劳的患者应加强随访。
Objective: To investigate the clinical features of common symptoms after seizure and its role in the differential diagnosis of seizure. Methods: Post-seizure symptoms were analyzed in 67 epileptic patients and 36 non-seizure patients (NES). RESULTS: There were post-episode headache (P <0.01) in 35 epilepsy patients (52.2%) and 2 NES patients (56%); in 17 epileptic patients (59.4%) and 6 Cases of NES patients (16.7%) had post-seizure fatigue (P <0.01). After the onset of confusion and other symptoms in the seizures and NES patients no significant difference. Among the studied cases, all the epileptic patients had at least one post-seizure symptom, whereas 21 non-epileptic patients (58.3%) had no post-seizure symptoms during the study period (P = 0 0 01 ). CONCLUSIONS: Headache and fatigue contribute to the differential diagnosis of seizures after the onset of attack. Patients with clinically diagnosed NES and post-seizure headache and fatigue should be followed up.