摘要
目的了解广西农村部分地区癫的发病情况、治疗缺口以及丙戊酸钠的疗效。方法利用统一的调查表对广西田东、田阳、平果、天等县已确定或怀疑癫的患者进行调查,再经神经科医生复查后确诊,并对适合使用丙戊酸钠的病例进行疗效观察。结果共诊断癫患者303例,未经治疗46.2%,西药治疗45.5%,仅中药、偏方治疗6.3%,治疗不详2.0%,其中活动性癫人数295例,治疗缺口达81.0%。295例患者进入丙戊酸钠治疗的随访研究,显效率为58.6%,总有效率为75.2%。结论广西农村地区癫的治疗缺口较全国其他农村地区高,经丙戊酸钠治疗后,约75%患者发作可得到有效控制,但是不正规治疗可影响患者的预后,故应重视癫患者的正规治疗。
Objective To study the general state, treatment gap, and the curative effect of valproate sodium of epilepsy in rural areas of Guangxi Zhuang autonomous region. Methods The survey was carried out in the rural areas in Tiandong, Tianyang, Pingguo, Tiandeng, Guangxi Zhuang autonomous region. All patients with a definite or possible epilepsy found during the screening phase were checked again by neurologists. The epileptic thus screened underwent treatment of valproate sodium （VPA）. Results Three hundred and three cases of epilepsy were diagnosed, 295 patients were diagnosed as active epilepsy. 46.6% patients didn＇t take any treatment, 45.5% patients were taking or had taken westen medicine, 6.3% patients treated by Chinese crude drug or local folk prescription, 2% patients were unknown. The treatment gap of active Epilepsy was 81.0%. Two hundred and ninty-five patients entered the treatment group. The significant effective rate of VPA was 58. 6%, the total effective rate of VPA was 75.2%. Conclusion The treatment gap in Guangxi Zhuang autonomous region is higher than domestic other rural areas. About 75% patients with epilepsy were under control by taking VPA, but unregular treatment may result bad prognosis. So it is necessary to think high of regular treatment.
出处
《中国实用神经疾病杂志》
2009年第13期1-3,共3页
Chinese Journal of Practical Nervous Diseases
关键词
癫
治疗缺口
丙戊酸钠
预后
Epilepsy
Treatment gap
Valproate sodium
Prognosis
