目的研究老年癫痫的临床特点。方法回顾性分析大连医科大学附属第一医院癫痫门诊41例老年癫痫患者的临床资料。结果 41例患者70.7%为部分性发作,29.3%为全面性强直阵挛发作。病因分析:63.4%为脑血管病,9.8%为脑肿瘤,7.3%为代谢性疾病,14.6%病因不明。41例均为单药治疗,其中61.0%发作完全控制,有效率87.9%。结论老年癫痫多为继发性癫痫,病因明确,发作类型以部分性发作为主,抗癫痫药物单药治疗效果好。 Objective To study the clinical features of senile epilepsy. Methods The clinical data of 41 elderly patients with epilepsy from the epilepsy clinic of the First Affiliated Hospital of Dalian Medical University were retrospectively analyzed. Results 41.7% patients were partial seizures and 29.3% were generalized tonic clonic seizures. Etiology analysis: 63.4% of cerebrovascular disease, 9.8% of brain tumors, 7.3% of metabolic diseases, 14.6% of the etiology. 41 cases were monotherapy, of which 61% were completely controlled attack, the effective rate was 87.9%. Conclusion Elderly epilepsy is mostly epilepsy, the cause is clear, the type of seizure to partial seizures, antiepileptic drug monotherapy is effective.