CAJ | 학술논문

目的探讨癫癇与脑卒中的关系、继发性癫癇的特点及其治疗.方法对223例脑卒中患者进行观察,对卒中后继发性癫癇21例患者的临床资料进行分析.结果脑卒中后继发性癫癇患者多见于脑皮质卒中患者,其中脑皮质卒中组癫癇发生率为16.7%,明显高于皮质下脑卒中组癫癇发生率(5.%),两组差异有统计学意义(P＜0.01).＞4 cm的脑卒中病灶组癫癇发生率为17.3%,明显高于＜4 cm脑卒中病灶组癫癇发生率(5.4%)(P＜0.01).出血性卒中组和缺血性卒中组癫癇发生率差异无统计学意义(P＞0.05).结论脑卒中后继发性癫癇的发生率与脑卒中类型无关,与脑卒中发生部位和面积有关.
목적 탐토전간여뇌졸중적관계、계발성전간적특점급기치료.방법 대223례뇌졸중환자진행관찰,대졸중후계발성전간21례환자적림상자료진행분석.결과 뇌졸중후계발성전간환자다견우뇌피질졸중환자,기중뇌피질졸중조전간발생솔위16.7%,명현고우피질하뇌졸중조전간발생솔(5.%),량조차이유통계학의의(P＜0.01).＞4 cm적뇌졸중병조조전간발생솔위17.3%,명현고우＜4 cm뇌졸중병조조전간발생솔(5.4%)(P＜0.01).출혈성졸중조화결혈성졸중조전간발생솔차이무통계학의의(P＞0.05).결론 뇌졸중후계발성전간적발생솔여뇌졸중류형무관,여뇌졸중발생부위화면적유관.
Objective To explore the relationship between epilepsy and stroke,the features of secondary epilepsy and its treatment. Methods 233 stroke patients were observed and the clinical data of 21 patients who had secondary epilepsy were analyzed. Results Secondary epilepsy after stroke was mainly seen in the cortical stoke patients, the incidence of epilepsy of the cortical stroke group was 16.7% , which was significantly higher than that of the gubcortical stroke patients(5.7% ) ,and there was significant difference between the two groups. The incidence of epilepsy of stroke with a lesion >4cm group was 17. 3% .which was significantly higher than that of stroke with a lesion <4cm group(5.4% ), there was also significant difference between the two groups. There was no significant difference between ischeraic stroke and hemorrhagic stroke(P>0.05). Conclusion The incidence of secondary epilepsy after stroke had no correlations with the stroke types,but was related to the area and the location of the stroke.