老年人脑卒中后继发癫痫的临床特点分析

摘要

Objective:To investigate the clinical features of secondary epilepsy in elderly after stroke.Methods:Eighty-nine elder patients with secondary epilepsy after stroke were divided into the elder group(age ≥65 years old) and non-elder group(age <65 years old).The clinical data in all patients were retrospectively analyzed.Results:The incidence rates of tardy epilepsy,post-infarction epilepsy,partial seizure and multiple brain epilepsy in elder group(76.2%,81.0%,50.0% and 61.9%) were higher than those in non-elder group(27.7%,55.3%,22.3% and 38.3%),respectively(P<0.05 to P<0.01).The generalized seizure was the risk factor of epilepsy recurrence in elder group(P<0.05).Conclusions:The tardy epilepsy and partial seizure should be prevented in the elderly after shock.The drug intervention in patients with generalized seizure can decrease the recurrence of epilepsy.%目的:探讨老年人脑卒中后继发癫痫的临床特点.方法:将89例脑卒中后继发癫痫病人分为老年组(≥65岁)、非老年组(<65岁),对其临床资料进行回顾性对照分析.结果:老年组中迟发性癫痫的发病率、脑梗死后癫痫的发病率、部分性癫痫发病率和多脑叶发病率分别为76.2%、81.0%、50.0%和 61.9%,均高于非老年组的27.7%、55.3%、22.3%和38.3%(P<0.05~P<0.01).老年组中,全面性发作是癫痫复发的危险因素(P<0.05).结论:老年人脑卒中后,应注意预防迟发性癫痫和部分性癫痫发作;出现癫痫发作的病人积极药物干预可以减少复发的可能.