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目的 :研究精神因素在小儿癫痫发作中的作用。方法 :详细询问 2年收治的 43例癫痫病人 ,发作前有无精神因素 :恐惧、惊吓、压抑等。结果 :15例病人有可查到的精神刺激因素 ,能诱发或加重发作。结论 :癫痫发作与精神因素有关。建议 :①遇有精神刺激而出现发作性精神障碍、抽搐时 ,不应只想到癔病 ,应进行必要的检查 ,考虑癫痫的可能。②癫痫病高发家庭中和既往有复杂性高热惊厥的病人 ,注意避免精神刺激和过度兴奋。③癫痫控制期间注意避免过度激动、压抑、愤怒等情绪反应及睡眠不足和精神压力过重。④对癫痫病人应给予心理支持 ,让其树立信心 ,克服自卑 ,轻松完成治疗。
Objective: To study the role of mental factors in pediatric seizures. Methods: Asked in detail about 43 cases of epilepsy patients admitted in 2 years, before the onset of mental factors: fear, shock, depression and so on. Results: 15 patients can be found in mental stimulation, can induce or aggravate the attack. Conclusion: Epileptic seizures and mental factors. Recommendations: ① In case of mental stimulation and onset of mental disorders, convulsions, should not just think of hysteria, should be the necessary checks to consider the possibility of epilepsy. ② high incidence of epilepsy in the family and in the past complex hyperthermia in patients with convulsions, to avoid mental stimulation and over-excitement. ③ during epilepsy control to avoid excessive agitation, depression, anger and other emotional reactions and lack of sleep and mental stress. ④ patients with epilepsy should be given psychological support, so that they establish confidence, overcome inferiority complex, easy to complete treatment.