脑血管病后癫痫的临床特征及危险因素分析

摘要

Objective To explore the clinical characteristics and risk factors of post-stroke epilepsy(PSE). Method Five hundred and twenty-eight patients with cerebrovascular disease stroke admitted to our department were chosen. The clinical data of these patients, including episode time, seizure types lesion locations and prognosis were collected, and the related risk factors of PSE were analyzed by single factor analysis and multivariateLogistic regression analysis.Results There was no significant correlation between PSE and factors, such as gender, age, hypertension, diabetes, coronary heart disease, atrial fibrillation and smoking history. And there was correlation between PSE and factors, such as past history of stroke, cortical involvement and multi lobar lesions.Conclusion Stroke patients having past history of stroke, cerebral hemorrhage and multi lobar and cortical lesions are likely to have secondary epilepsy.%目的 探讨脑血管病后癫痫(PSE)的临床特点及相关危险因素.方法 分析528例脑血管病患者的临床特征,随访癫痫发作的情况,包括发作时间、发作类型、病变部位及预后等,通过单因素及多因素统计分析PSE发作的相关危险因素.结果 PSE与性别、年龄、高血压史、糖尿病史、冠心病史、房颤、吸烟史等因素无明显相关性,而与既往卒中病史、累及皮质、多脑叶病灶呈相关性.结论 既往患者有卒中病史、脑出血患者以及病灶累及多脑叶、皮质者更容易继发癫痫.