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目的:对中国农村黑龙江省东宁县全体居民进行流行病学普查,从而提供客观、可信的中国农村人群癫痫的流行病学资料。方法:应用癫痫流行病学调查表,采用随机整群抽样方法,对东宁县内4镇6乡全体居民进行面对面的流行病学普查,应查人口10823人,实查人口10151人,见面率93.8%,所有癫痫患者均经神经科医生检查诊断。结果:81例患者符合癫痫的诊断标准,癫痫的患病率为7.98/1000。50～59岁年龄段男女两性癫痫的患病率最高。癫痫的年发病率为9.85/100000。首次发病年龄在20岁之内的患者例数最多,超过50%的患者在此期间发病。特发性癫痫占79.01%,中枢神经系统感染性疾病是症状性癫痫的主因。最常见的发作类型为全身强直-阵挛发作。癫痫的治疗缺口(没有接受治疗或者治疗不完善的患者所占的比率)在农村地区高达60%。结论:中国农村黑龙江省东宁县癫痫的患病率很高,且以20岁以内发病居多,治疗缺口较大。
OBJECTIVE: To carry out a epidemiological survey of all residents in Dongning County, Heilongjiang Province, in China so as to provide objective and credible epidemiological data on epilepsy in rural China. Methods: Epilepsy Epidemiology Questionnaire, a randomized cluster sampling method was used to conduct a face-to-face epidemiological survey of all residents in 6 towns in 4 towns in Dongning County. The population should be 10,823 with an actual population of 10,151, with a meeting rate of 93.8 %, All epilepsy patients are diagnosed by neurologists. Results: 81 patients meet the diagnostic criteria of epilepsy, the prevalence of epilepsy was 7.98 / 1000. The highest prevalence of men and women with epilepsy in the age group of 50 to 59 years. The annual incidence of epilepsy is 9.85 / 100000. The first case of patients within the age of 20 years of age the largest number of patients, more than 50% of patients in the period of onset. 79.01% of idiopathic epilepsy, central nervous system infectious disease is the main cause of symptomatic epilepsy. The most common type of seizure is generalized tonic-clonic seizures. The gap in the treatment of epilepsy (untreated or under-treated patients) is as high as 60% in rural areas. Conclusion: The prevalence of epilepsy in Dongning County, Heilongjiang Province, China, is very high. Most of the patients are infected within 20 years of age, and the treatment gap is relatively large.