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[目的]分析脑卒中后癫痫发作的危险因素及患者脑电图表现.[方法]选取本院2011年9月至2017年9月收治的1396名脑卒中患者作为研究对象,最终纳入951名.根据脑卒中后癫痫是否发作,分为癫痫发作组、无癫痫发作组.分析脑卒中后癫痫发作的危险因素,并观察患者脑电图表现.[结果]本次研究脑卒中后癫痫发作发生率为5.68%,其中早发型癫痫占比55.56%,迟发型癫痫占比44.44%.脑卒中后癫痫发作患者脑电图呈弥散性异常占25.93%,局限性异常占48.15%.多因素回归分析显示病灶部位、病灶范围、高同型半胱氨酸血症和NIHSS评分≥25分是脑卒中后癫痫发作的独立危险因素.[结论]对于病灶部位在皮质、病灶范围大、高同型半胱氨酸血症和NIHSS评分≥25分的脑卒中患者应高度警惕癫痫发作.“,”[Objective]ToanaLyzetheriskfactorsofpost-strokeepiLepsyandtheeLectroencephaLogram (EEG)ofthepatients.[Methods]AtotaLof1,396strokepatientsadmittedtoourhospitaLfrom September 2011toSeptember2017wereseLectedasthestudysubjects,and951strokepatientswereincLudedinthestud-y.AccordingtowhetherepiLepsyoccursafterstroke,theyweredividedintoepiLepsyseizuregroupandnon-ep-iLepsyseizuregroup.TheriskfactorsofepiLepticseizuresafterstrokewereanaLyzedandtheEEG manifesta-tionsofthepatientswereobserved.[ResuLts]Inthisstudy,theincidenceofepiLepticseizuresafterstrokewas 5.68%,ofwhichearLy-onsetepiLepsyaccountedfor55.56%,Late-onsetepiLepsyaccountedfor44.44%.Dis-seminatedabnormaLitiesinEEGandLocaLizedabnormaLitieswerefoundin25.93% and48.15% ofpatientswith epiLepticseizuresafterstroke.MuLtivariateregressionanaLysisshowedthattheLocation,extent,hyperhomo-cysteinemiaandNIHSSscore(≥25)wereindependentriskfactorsforepiLepticseizuresafterstroke.[ConcLu-sion]Patientswithstrokeinthecortex,LargeextentofLesions,hyperhomocysteinemia,andNIHSSscore≥25 shouLdbehighLyaLerttoseizures.