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加强癫痫诊疗规范化对改善患者生活质量的分析研究 被引量:9

Clinical Study on Improving Quality of Life in Adult Patients with Epilepsy by Enhancing the Standardization of Diagnosis and Treatment
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摘要 目的探讨加强规范化诊疗对成年癫痫患者生活质量的影响。方法80例临床确诊的成年癫痫患者,病程至少1年以上,发作频率大于4次/月,前期诊疗不规范。所有患者采取严格诊疗程序,采用成年癫痫生活质量量表-31(QOL-31中文版)评估抗癫痫药治疗3个月对患者生活质量各个方面的影响。结果发作长期未控制的癫痫患者生活质量各方面均明显下降,其中以发作担忧和药物影响评分最低,同时性别、文化程度、职业、经济状况和居住地对患者总的生活质量及生活质量的各方面有一定的影响;规范化治疗后患者总生活质量及各方面均明显改善(P<0.05),同时消除或明显改善了上述因素对生活质量的影响。结论加强癫痫诊疗规范化是控制癫痫发作、提高患者生活质量的关键。 Objective To study the effects on improving quality of life(QOL) in adult patients with epilepsy by enhancing the standardization of diagnosis and treatment.Methods Eighty adult patients with epilepsy under nonstandard diagnosis and treatment,whose disease course was at least one year and seizure frequency more than four times a month were enrolled standardization with strict procedure of diagnosis and treatment was then adopted.After three months' standard AEDs treatment,the QOL for these patients were evaluated by quality of life in epilepsy inventory-31(QOLIE-31,Chinese version).Results All aspects of QOL for patients with uncontrolled seizures had been decreased,among which the values of worry about seizure and effects of medication were lowest.At the same time gender,education background,occupation,economic status and living condition also affected the overall QOL and various scales of QOL.After standard treatment overall QOL and all scales were significantly improved,meanwhile the influence of the above factors on QOL were largely eliminated or obviously diminished.Conclusion Enhancing the standardization of diagnosis and treatment was the key to controlling seizure and improving QOL in adult patients with epilepsy.
出处 《首都医科大学学报》 CAS 2007年第4期522-527,共6页 Journal of Capital Medical University
关键词 癫痫 规范化 诊断 治疗 生活质量 epilepsy standardization diagnosis treatment quality of life
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参考文献17

  • 1[1]Bishop M,Allen C A.The impact of epilepsy on quality of life:a qualitative analysis[J].Epeilepsy & Behavior,2003,4:226-233. 被引量:1
  • 2[2]Mrabet H,Mrabet A,Zouari B,et al.Health-related quality of life of people with epilepsy compared with a general reference popolation:A tunisian study[J].Epilepsy,2004,45:838-843. 被引量:1
  • 3王文志,吴建中,王德生,陈桂生,王太平,袁成林,杨斌,赵东海.中国五省农村人群癫痫流行病学抽样调查[J].中华医学杂志,2002,82(7):449-452. 被引量:165
  • 4[4]Salgado P C,Souza E A.Quality of life in epilepsy and perception of seizures control[J].Arg Neuropsiquiatr,2001,59:537-540. 被引量:1
  • 5[5]Birbeck G L,Ron D,Hays R D,et al.Seizure reduction and quality of life improvements in people with epilepsy[J].Epilepsia,2002,43:535-538. 被引量:1
  • 6[6]Commission on Classification and Terminology of the International League Against Epilepsy.Proposal for revised clinical and electroencephalographic classification of epileptic seizures[J].Epilepsia,1981,22:489-501. 被引量:1
  • 7[7]Commission on Classification and Terminology of the International League Against Epilepsy.Proposal for revised classification of epilepsies and epileptic syndromes[J].Epilepsia,1989,30:389-399. 被引量:1
  • 8任晓琳,梁平,刘雪琴.癫痫患者生活质量量表-31(中文版)的翻译及修订[J].解放军护理杂志,2003,20(4):99-101. 被引量:80
  • 9吴逊.神经病学.癫痫和发作性疾病[M].北京:人民军医出版社,2001.1-2. 被引量:48
  • 10[10]Jacoby A,Gorry J,Baker G A.Employers' attitudes to employment of people with epilepsy:still the same old story[J]? Epilepsia,2005,46:1978-1987. 被引量:1

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