摘要
目的探究癫痫的临床诊断和治疗方法。方法整群选取该院2014年3月—2016年1月收治的癫痫患者310例,回顾性分析该组患者临床资料。并根据患者的具体病情实施治疗,观察患者临床疗效。结果该组患者中部分性发作110例(占35.48%),强直-阵挛发作48例(占15.48%),强直发作84例(占27.09%),阵挛68例(21.93%),其中1例持续发作;原发病类型主要有脑卒中后继发性癫痫、病毒性脑炎以及外伤和不明原因;通过该院常规抗癫痫药物治疗后,症状得到基本控制,随访观察6个月,总有效率达89.67%。结论癫痫的临床种类很多、且临床表现也各具差异,所以,临床诊断应结合症状、体征、病史以及神经系统和EEG等检查综合诊断。对于初发病例采用单药治疗,控制无效者联合用药;而针对癫痫持续发作者首先考虑静脉给药,待控制后,改用口服用药,进一步提高疗效。
Objective To explore the diagnosis and treatment of epilepsy. Methods Group selection a hospital in March2014 to January 2016 epilepsy patients treated 310 cases retrospectively analyzed clinical data in this group of patients.Depending on the patient and the implementation of treatment, observation of clinical efficacy in patients. Results The group of patients with partial seizures 110 cases（accounting for 35.48%）, tonic- clonic seizures 48 cases（accounting for 15.48%）,tonic seizures 84 cases（accounting for 27.09%）, clonic 68 cases（21.93%）, which one case of sustained attack; the main types of primary disease, secondary epilepsy after stroke, viral encephalitis, and sequelae of trauma and unexplained;through the hospital routine antiepileptic drug therapy, symptoms under control, followed up for 6 months, the total effective rate was 89.67%.Conclusion The clinical types of epilepsy are many, and the clinical manifestations of which have their differences, therefore, should be combined with clinical diagnosis of symptoms, signs, medical history and neurological examination and EEG comprehensive diagnosis. For newly diagnosed patients were treated with medical therapy alone, ineffective control combination; and for the hair of epilepticus first consider intravenous administration, to be controlled, use of oral medication, to further improve the outcome.
出处
《中外医疗》
2016年第34期120-121,124,共3页
China & Foreign Medical Treatment
关键词
癫痫
临床诊断
治疗
效果分析
Epilepsy
Clinical diagnosis
Treatment
Effect analysis
