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目的 了解扬州市头桥农村地区的癫疒间流行病学特征及状况。方法 采用随机整群抽样方 法,对扬州市头桥农村地区8个自然村人群进行入户见面表格癫疒间普查。结果 实际被调查的11118人中, 共查出各类型癫疒间患者87例,患病率为7.83‰,年发病率为53.4/10万。76例(85.05%)未发现明确病因, 仅3例(3.45%)有家族史。首次发病年龄<20岁者33例(37.93%);≥20岁者54例(62.07%);平均病程 17.51年;发作类型以全面强直阵挛性发作为主(78.16%),年发作次数在10～29次;87例患者中从未进行抗 癫疒间治疗50例(57.47%)。结论 该地区癫疒间患病率、发病率均高于国内其他农村地区;发作类型仍以全面 强直阵挛性发作为主。癫疒间治疗管理水平较低。
Objective To understand the epidemiological characteristics and status of epilepsy in rural area of Bridgehead in Yangzhou. Methods A random cluster sampling method was used to investigate the interviews of epilepsy among 8 villages in the rural area of Head Bridge in Yangzhou City. Results Of the 11,118 people actually surveyed, 87 cases of various types of epilepsy were found, the prevalence was 7.83 ‰ and the annual incidence was 53.4 / 100 000. 76 cases (85.05%) did not find a clear cause, only 3 cases (3.45%) had a family history. The average age of onset was 17.51 years (78.16%). The number of seizures in the first episode was 33 (37.93%) in the group of <20 years old and 54 (62.07% 10 to 29 times; 50 patients (57.47%) had never been treated with antiepileptic drugs in 87 patients. Conclusions The prevalence and incidence of epilepsy in this area are higher than those in other rural areas in China. The type of seizure is still dominated by comprehensive tonic-clonic seizures. Epilepsy treatment management level is low.