中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2015年
3期
36-37
,共2页
癫痫%老年人
癲癇%老年人
전간%노년인
Epilepsy%Elderly
目的：通过对116例老年癫痫患者病因及临床特点的回顾性分析，完善对老年癫痫的认识，以利正确诊断及治疗。方法：详细分析116例老年癫痫患者病因、临床特点及预后情况，并进行总结。结果：116例老年癫痫患者，男72例，女44例，年龄60～84岁。111例有明确病因，分别为脑血管病66例，糖尿病10例，脑外伤11例，颅内感染9例，颅内肿瘤7例，电解质及代谢紊乱7例，脑萎缩1例；5例患者没有查到明确病因。临床表现为全面性发作57例，单纯性部分性发作17例，复杂部分性发作7例，部分继发全面性发作20例，癫痫持续状态15例；住院期间症状完全控制45例，发作次数减少60例，未控制9例，死亡2例。结论：脑血管病、颅内感染、颅内肿瘤和脑外伤是老年人癫痫发病的主要原因。发病形式以全面性发作最常见。老年人癫痫预后相对良好。
目的：通過對116例老年癲癇患者病因及臨床特點的迴顧性分析，完善對老年癲癇的認識，以利正確診斷及治療。方法：詳細分析116例老年癲癇患者病因、臨床特點及預後情況，併進行總結。結果：116例老年癲癇患者，男72例，女44例，年齡60～84歲。111例有明確病因，分彆為腦血管病66例，糖尿病10例，腦外傷11例，顱內感染9例，顱內腫瘤7例，電解質及代謝紊亂7例，腦萎縮1例；5例患者沒有查到明確病因。臨床錶現為全麵性髮作57例，單純性部分性髮作17例，複雜部分性髮作7例，部分繼髮全麵性髮作20例，癲癇持續狀態15例；住院期間癥狀完全控製45例，髮作次數減少60例，未控製9例，死亡2例。結論：腦血管病、顱內感染、顱內腫瘤和腦外傷是老年人癲癇髮病的主要原因。髮病形式以全麵性髮作最常見。老年人癲癇預後相對良好。
목적：통과대116례노년전간환자병인급림상특점적회고성분석，완선대노년전간적인식，이리정학진단급치료。방법：상세분석116례노년전간환자병인、림상특점급예후정황，병진행총결。결과：116례노년전간환자，남72례，녀44례，년령60～84세。111례유명학병인，분별위뇌혈관병66례，당뇨병10례，뇌외상11례，로내감염9례，로내종류7례，전해질급대사문란7례，뇌위축1례；5례환자몰유사도명학병인。림상표현위전면성발작57례，단순성부분성발작17례，복잡부분성발작7례，부분계발전면성발작20례，전간지속상태15례；주원기간증상완전공제45례，발작차수감소60례，미공제9례，사망2례。결론：뇌혈관병、로내감염、로내종류화뇌외상시노년인전간발병적주요원인。발병형식이전면성발작최상견。노년인전간예후상대량호。
Objective:To improve the understanding of epilepsy in the elderly in order to facilitale the correct diagnosis and treatment by a retrospective analysis of the causes and clinical characteristics of epilepsy in the elderly of 116 patients.Methods:The etiology, clinical features and prognosis of 116 patients were analyzed in detail and summarized .Results:72 males and 44 females of epilepsy in the elderly of 116 patients were included ,aged from 60 to 84 years.111 cases had a clear cause ,namely, 66 cases with cerebrovascular disease , diabetes mellitus in 10 cases, 11 cases with traumatic brain injury, intracranial infection with 9 cases ,7 cases with intracranial tumors, electrolyte and metabolic disorders in 7 cases, cerebral atrophy in 1 cases;5 patients were not found a clear cause .The clinical manifestations consisted of GTCS in 57 cases, simple partial seizures in 17 cases, complex partial seizures in 7 cases, secondary GTCS in 20 cases, status epilepticus in 15 cases;There were 45 patients completely controlled during hospitalization .60 cases seizure frequency reduced , while 9 cases had not controlled and 2 died.Conclusion:Cerebrovascular disease , intracranial infections ,intracranial tumors and brain injury are the main reasons of epilepsy in the elderly .The most common form is GTCS .The elderly with epilepsy have a relatively good prognosis .
