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目的:了解扬州邗江农村地区的癫痫防治管理状况。方法:对邗江区268例全面性强直阵挛发作(GTCS)患者入组给予苯巴比妥治疗,进行规范化管理,5a后随访。结果:5a后随访到232例,随访率86.57%,接受正规抗癫痫药物(AEDs)治疗的GTCS患者占68.97%,160例继续服用AEDs的GTCS患者治疗总有效率91.88%,显效率25.00%,不良反应随时间延长明显减轻。结论:扬州邗江农村地区的癫痫防治管理较前有了很大提高,建立以苯巴比妥治疗方案为主要手段的癫痫防治管理模式适合在我国经济较发达农村地区推广。
Objective: To understand the status of epilepsy prevention and control in Hanjiang River in Yangzhou. Methods: A total of 268 patients with GTCS in Qijiang District were enrolled in the study. Phenobarbital was administered to the patients and standardized management was followed up after 5 years. Results: Followed up to 232 cases after 5 years, the follow-up rate was 86.57%. The GTCS patients receiving regular AEDs accounted for 68.97%. The total effective rate was 91.88% and the effective rate was 25.00% in 160 GTCS patients taking AEDs. Adverse reactions with time significantly reduced. Conclusion: The management of epilepsy in rural areas in Hanjiang River in Yangzhou has been greatly improved. The management model of epilepsy with phenobarbital treatment as the main means is suitable for the promotion in the economically developed rural areas of our country.