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目的：探讨颅脑损伤后早期癫痫（ＥＥｐ）、晚期癫痫（ＬＥｐ）发生的相关因素。方法：通过统计学上数据处理，研究ＥＥｐ、ＬＥｐ与年龄、损伤类型、损伤部位、ＧＣＳ的关系，以及对药物治疗与手术治疗效果进行比较。结果：ＥＥｐ、ＬＥｐ的发生与年龄无显著差异（Ｐ＞００５），与损伤类型、损伤部位及ＧＣＳ有显著性差异（Ｐ＜００１），ＥＥｐ与ＬＥｐ的药物治疗（Ｐ＜００１）及ＬＥｐ的药物疗效与手术疗效（Ｐ＜００１）有显著差异。结论：颅脑损伤后ＥＥｐ、ＬＥｐ与年龄无关，ＬＥｐ与开放型颅脑损伤密切相关，发生率高，额叶后部、顶叶损伤后ＥＥｐ、ＬＥｐ发生均比其它部位高。提出颅脑损伤后应早期抗癫痫治疗，ＬＥｐ药物无效者应施行手术治疗。
Objective: To explore the related factors of early epilepsy (EEp) and late epilepsy (LEp) after craniocerebral injury. Methods: The relationship between EEp, LEp and age, type of injury, site of injury and GCS were studied by means of statistical data processing, and the effects of drug treatment and surgical treatment were compared. Results: The occurrence of EEp and LEp had no significant difference with age (P> 005), and there was significant difference between the type of injury, injury site and GCS (P <001), the treatment of EEp and LEp 01) and LEp drug efficacy and surgical efficacy (P <0 01) were significantly different. Conclusion: There is no correlation between age and age of EEp and LEp after craniocerebral injury. LEp is closely related with open craniocerebral injury, and the incidence is high. EEp and LEp are higher in posterior and parietal lobe than those in other sites. Proposed early anti-epilepsy after brain injury treatment, LEp drug ineffective surgical treatment should be implemented.