摘要
目的:对老年性癫痫的临床特点及其治疗预后进行分析。方法:收治老年性癫痫患者162例,对资料进行回顾性分析。结果:病因明确154例(95.06%),脑梗死60例(37.04%),脑出血22例(13.58%),其中早发和迟发性癫痫分别为44例和60例,脑外伤或手术后及脑肿瘤各20例(13.00%),脑萎缩10例(6.49%),病因不明8例(5.19%)。单纯部分性发作46例(28.40%),复杂部分性发作16例(9.88%),部分性发作继发全身性发作10例(6.17%),呈强直-阵挛性发作72例(44.44%),持续性癫痫18例(11.11%)。长期接受AEDs治疗130例(80.25%),8例死亡,均为全身强直-阵挛性持续状态。结论:大部分老年性癫痫发作患者发病时均有显著的病因,若早期发现,应尽早针对病因予以必要的治疗和干预,且大部分能够有效地被预防及控制。
Objective：To analyze the clinical features and treatment prognosis of senile epilepsy. M ethods：f162 cases of epilepsy in the elderly patients in aparalle the clinical situation were analyzed retrospectively. Re- sults ： 154 cases （ 95.06% ） of patients with definite etiology ,60 cases（37.04% ）for pa- tients with cerebral infarction ,22 cases （ 13. 58% ） for cerebral hemowhage, which early - onset and late - onset epilepsy were 44 cases and 60 cases ,traumatic brain injury or brain tumor after operation and 20 cases （ 13% ） , 10 cases （6. 49% ） cerebral atro- phy,8 cases （5. 19% ）of patients with un- known etiology. In 46 cases （28.40%） for patients with simple partial seizure, 16 cases （9. 88% ） for complex partial seizures, 10 cases （ 6.17 % ） partial seizures with second- ary generalized seizures, 72 cases （44. 44% ） had tonic - clonic seizures, 18 cases （ 1 1 . 1 1% ） forcontinuousepilepsy. Allthe 130 patients receiving long - term AEDs treatment, accounted for more than 80. 25% ,8 patients died,were generalized tonic - clonic status epilepticus. Conclusion ： most of the elderly epilepsy patients showed a sig- nificant cause, if early detection, early treat- ment and intervention for the cause to be necessary, and most can effectively prevent and control.
